| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
62,635 |
49,431 |
$4.13M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,314 |
24,084 |
$10K |
| 90686 |
|
434 |
408 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,324 |
2,663 |
$2K |
| 90651 |
|
146 |
138 |
$871.93 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,616 |
6,250 |
$227.00 |
| 90670 |
|
65 |
65 |
$208.00 |
| 90716 |
|
26 |
26 |
$197.00 |
| 90734 |
|
58 |
56 |
$184.00 |
| 90707 |
|
27 |
27 |
$182.00 |
| 90715 |
|
41 |
40 |
$176.27 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
322 |
298 |
$155.24 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
369 |
345 |
$136.88 |
| 90633 |
|
25 |
25 |
$127.95 |
| 90723 |
|
29 |
29 |
$120.00 |
| 90647 |
|
26 |
25 |
$104.00 |
| 90677 |
|
41 |
40 |
$104.00 |
| 92551 |
|
1,467 |
1,334 |
$65.28 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,365 |
4,614 |
$44.60 |
| 99173 |
|
1,563 |
1,415 |
$14.05 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,810 |
2,690 |
$8.26 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
4,446 |
2,317 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,731 |
3,576 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,451 |
1,355 |
$0.00 |
| 0011A |
|
60 |
59 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,095 |
590 |
$0.00 |
| 96127 |
|
37 |
36 |
$0.00 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,298 |
1,193 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
190 |
182 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
37 |
37 |
$0.00 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
74 |
71 |
$0.00 |
| 86403 |
|
36 |
35 |
$0.00 |
| 0001A |
|
15 |
14 |
$0.00 |
| 0012A |
|
53 |
51 |
$0.00 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
3,996 |
2,764 |
$0.00 |
| 99490 |
Ccm add 20min |
1,151 |
1,115 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
741 |
682 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
867 |
796 |
$0.00 |
| 81002 |
|
116 |
109 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
265 |
251 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
411 |
383 |
$0.00 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
245 |
178 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
162 |
153 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
101 |
97 |
$0.00 |
| 90661 |
|
62 |
62 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
344 |
209 |
$0.00 |
| J2010 |
Injection, lincomycin hcl, up to 300 mg |
28 |
26 |
$0.00 |
| 0002A |
|
15 |
15 |
$0.00 |
| 99307 |
|
32 |
17 |
$0.00 |