| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
26,221 |
22,605 |
$2.80M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,925 |
1,902 |
$213K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,432 |
1,363 |
$153K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
908 |
897 |
$99K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
394 |
382 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
845 |
765 |
$36K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
373 |
187 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
538 |
508 |
$6K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
52 |
40 |
$3K |
| 0001A |
|
35 |
33 |
$1K |
| 0071A |
|
24 |
24 |
$798.79 |
| 0072A |
|
12 |
12 |
$397.56 |
| V2020 |
Frames, purchases |
14 |
14 |
$252.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,884 |
4,248 |
$185.11 |
| 91307 |
|
70 |
67 |
$155.12 |
| 90461 |
|
2,768 |
2,472 |
$58.22 |
| 90686 |
|
1,050 |
1,041 |
$0.09 |
| 90671 |
|
436 |
422 |
$0.00 |
| 90648 |
|
306 |
305 |
$0.00 |
| 90633 |
|
272 |
270 |
$0.00 |
| 90710 |
|
132 |
131 |
$0.00 |
| 90670 |
|
745 |
736 |
$0.00 |
| 91300 |
|
88 |
81 |
$0.00 |
| 99051 |
|
28 |
28 |
$0.00 |
| 92552 |
|
25 |
25 |
$0.00 |
| 80061 |
Lipid panel |
12 |
12 |
$0.00 |
| 90723 |
|
236 |
236 |
$0.00 |
| 90680 |
|
651 |
641 |
$0.00 |
| 90697 |
|
417 |
408 |
$0.00 |
| 90656 |
|
78 |
76 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
39 |
37 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |
| 90696 |
|
13 |
12 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |