| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
46,561 |
30,763 |
$2.82M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49,142 |
22,462 |
$877K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,623 |
11,052 |
$524K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,100 |
1,301 |
$93K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
971 |
599 |
$71K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,791 |
1,169 |
$67K |
| 92552 |
|
3,677 |
2,411 |
$51K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,541 |
2,491 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
331 |
258 |
$25K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
1,201 |
830 |
$24K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,261 |
846 |
$22K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
457 |
277 |
$17K |
| 90688 |
|
1,865 |
1,341 |
$14K |
| 99173 |
|
3,811 |
2,577 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,048 |
758 |
$6K |
| 81003 |
|
5,411 |
3,360 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
150 |
106 |
$5K |
| 85018 |
|
3,004 |
2,498 |
$2K |
| 90734 |
|
318 |
230 |
$1K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
195 |
144 |
$990.62 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
104 |
56 |
$766.50 |
| 90649 |
|
246 |
173 |
$756.00 |
| 81025 |
|
258 |
217 |
$661.84 |
| 82947 |
|
551 |
473 |
$648.30 |
| 90620 |
|
104 |
74 |
$321.35 |
| 90715 |
|
41 |
29 |
$269.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
27 |
15 |
$232.58 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
27 |
15 |
$160.40 |
| 92567 |
|
16 |
13 |
$104.49 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,312 |
949 |
$92.03 |
| 86328 |
|
320 |
277 |
$0.00 |