| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
19,508 |
16,350 |
$2.86M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,199 |
11,538 |
$125K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,952 |
8,043 |
$84K |
| 99347 |
|
330 |
306 |
$6K |
| 92551 |
|
424 |
422 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
613 |
556 |
$2K |
| 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 |
13 |
13 |
$2K |
| 99307 |
|
43 |
39 |
$1K |
| 99304 |
|
18 |
16 |
$1K |
| 99215 |
Prolong outpt/office vis |
63 |
62 |
$976.17 |
| 11721 |
|
3,409 |
3,273 |
$962.71 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
57 |
57 |
$680.07 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
247 |
232 |
$355.85 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
265 |
260 |
$176.60 |
| 99334 |
|
26 |
26 |
$35.85 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
274 |
255 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
635 |
579 |
$0.00 |
| 2028F |
|
1,252 |
1,135 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
102 |
102 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
19 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
708 |
681 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,214 |
1,147 |
$0.00 |
| 99406 |
|
32 |
29 |
$0.00 |
| 90686 |
|
138 |
118 |
$0.00 |
| 11055 |
|
137 |
135 |
$0.00 |
| 85018 |
|
12 |
12 |
$0.00 |