| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,042 |
4,703 |
$855K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,831 |
8,165 |
$16K |
| 97810 |
|
302 |
190 |
$5K |
| 97811 |
|
302 |
190 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,323 |
1,110 |
$3K |
| 90686 |
|
138 |
138 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
63 |
51 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
814 |
593 |
$299.20 |
| 99386 |
|
107 |
90 |
$273.60 |
| G0407 |
Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth |
4,750 |
3,674 |
$257.72 |
| 99385 |
|
99 |
72 |
$136.80 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
95 |
95 |
$106.95 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
126 |
77 |
$37.50 |
| 99401 |
|
12 |
12 |
$36.25 |
| 99366 |
|
695 |
683 |
$30.23 |
| G2010 |
Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment |
4,766 |
3,691 |
$26.39 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
14 |
$24.99 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
548 |
530 |
$22.04 |
| 99406 |
|
195 |
167 |
$20.72 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
437 |
434 |
$9.63 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
76 |
76 |
$4.42 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
198 |
194 |
$0.01 |
| 3074F |
|
596 |
442 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,949 |
2,287 |
$0.00 |
| 3008F |
|
1,210 |
1,204 |
$0.00 |
| 99443 |
|
120 |
108 |
$0.00 |
| 88142 |
|
48 |
47 |
$0.00 |
| 3079F |
|
30 |
30 |
$0.00 |
| 96127 |
|
21 |
21 |
$0.00 |
| 3075F |
|
14 |
14 |
$0.00 |
| 3080F |
|
14 |
14 |
$0.00 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
2,254 |
1,411 |
$0.00 |
| 99448 |
|
502 |
484 |
$0.00 |
| 3078F |
|
504 |
360 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
693 |
681 |
$0.00 |
| 3725F |
|
342 |
339 |
$0.00 |
| 96160 |
|
22 |
22 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
76 |
44 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
21 |
21 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |