| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,104 |
12,762 |
$736K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
708 |
626 |
$36K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,640 |
1,452 |
$12K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
252 |
231 |
$11K |
| 99222 |
Initial hospital care, per day, moderate complexity |
276 |
256 |
$9K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
329 |
301 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,555 |
13,958 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,715 |
1,592 |
$4K |
| 82962 |
|
549 |
477 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
251 |
163 |
$1K |
| 80305 |
|
102 |
91 |
$942.30 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
75 |
63 |
$616.00 |
| 90674 |
|
21 |
13 |
$273.17 |
| 86403 |
|
30 |
29 |
$270.00 |
| 90656 |
|
13 |
13 |
$231.00 |
| 36415 |
Collection of venous blood by venipuncture |
303 |
293 |
$184.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
536 |
518 |
$0.11 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
376 |
363 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
15 |
13 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
868 |
814 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
20 |
18 |
$0.00 |
| 1125F |
|
28 |
28 |
$0.00 |