| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
30,912 |
18,294 |
$5.11M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,087 |
23,407 |
$66K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
924 |
867 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,198 |
1,155 |
$4K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
135 |
81 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
88 |
58 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
268 |
250 |
$1K |
| 88150 |
|
455 |
444 |
$673.78 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,782 |
1,515 |
$507.82 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
69 |
68 |
$8.40 |
| 3008F |
|
1,419 |
1,345 |
$8.40 |
| 1157F |
|
72 |
71 |
$8.40 |
| 1170F |
|
76 |
75 |
$7.80 |
| 1160F |
|
63 |
62 |
$6.60 |
| 3074F |
|
62 |
61 |
$6.60 |
| 3078F |
|
35 |
35 |
$4.80 |
| 1126F |
|
23 |
23 |
$1.80 |
| G0105 |
Colorectal cancer screening; colonoscopy on individual at high risk |
12 |
12 |
$1.20 |
| 1125F |
|
17 |
17 |
$1.20 |
| 99442 |
|
1,407 |
1,053 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
179 |
167 |
$0.00 |
| 3015F |
|
454 |
427 |
$0.00 |
| 3017F |
|
312 |
276 |
$0.00 |
| 99447 |
|
9,217 |
6,701 |
$0.00 |
| 3351F |
|
664 |
617 |
$0.00 |
| 3014F |
|
269 |
255 |
$0.00 |
| Z1034 |
|
89 |
67 |
$0.00 |
| 0001F |
|
16 |
13 |
$0.00 |
| 3354F |
|
15 |
12 |
$0.00 |
| 3352F |
|
16 |
15 |
$0.00 |