| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,376 |
3,422 |
$1.04M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,000 |
4,017 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
338 |
305 |
$707.92 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,635 |
1,341 |
$606.13 |
| 92081 |
|
434 |
433 |
$70.00 |
| 81002 |
|
238 |
214 |
$5.16 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
174 |
163 |
$4.91 |
| 3078F |
|
524 |
393 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
174 |
174 |
$0.00 |
| 90661 |
|
19 |
19 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$0.00 |
| 85018 |
|
36 |
34 |
$0.00 |
| 92551 |
|
330 |
330 |
$0.00 |
| 3074F |
|
578 |
426 |
$0.00 |
| 81001 |
|
88 |
88 |
$0.00 |
| 82962 |
|
45 |
39 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
13 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
15 |
13 |
$0.00 |
| 3079F |
|
47 |
42 |
$0.00 |
| 90686 |
|
16 |
16 |
$0.00 |