| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,395 |
6,616 |
$977K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,385 |
1,182 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
108 |
105 |
$15K |
| 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 |
559 |
556 |
$12K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,787 |
1,462 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
43 |
42 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
362 |
342 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
25 |
$3K |
| 99381 |
|
13 |
13 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,278 |
573 |
$953.25 |
| 99318 |
|
13 |
13 |
$128.00 |
| 90461 |
|
268 |
227 |
$0.00 |
| 90670 |
|
29 |
28 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
74 |
55 |
$0.00 |
| 90686 |
|
48 |
48 |
$0.00 |
| 90677 |
|
14 |
14 |
$0.00 |