| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
36,413 |
31,373 |
$5.51M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,767 |
11,331 |
$212K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,018 |
14,979 |
$144K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,167 |
985 |
$30K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
456 |
442 |
$22K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
856 |
514 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,608 |
3,244 |
$12K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
312 |
302 |
$10K |
| 99215 |
Prolong outpt/office vis |
277 |
234 |
$9K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
61 |
59 |
$5K |
| 90686 |
|
1,529 |
1,336 |
$4K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
155 |
146 |
$3K |
| 90480 |
|
89 |
88 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
894 |
785 |
$1K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
26 |
24 |
$737.00 |
| 99442 |
|
170 |
157 |
$360.00 |
| 99443 |
|
186 |
173 |
$346.95 |
| 90656 |
|
71 |
69 |
$330.15 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
146 |
118 |
$131.72 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
291 |
279 |
$107.05 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
146 |
138 |
$87.78 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
196 |
179 |
$79.30 |
| 96127 |
|
125 |
116 |
$3.57 |
| 91301 |
|
29 |
28 |
$0.22 |
| 91322 |
|
26 |
25 |
$0.13 |
| 91321 |
|
12 |
12 |
$0.02 |
| 92551 |
|
48 |
47 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$0.00 |
| 90651 |
|
36 |
29 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
299 |
287 |
$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 |
40 |
33 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
16 |
15 |
$0.00 |