| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
18,198 |
14,534 |
$6.63M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,117 |
9,376 |
$33K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,795 |
1,591 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,727 |
4,278 |
$28K |
| 99307 |
|
372 |
342 |
$5K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
210 |
123 |
$809.57 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
29 |
29 |
$600.00 |
| 36415 |
Collection of venous blood by venipuncture |
3,163 |
2,935 |
$0.31 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
221 |
216 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
43 |
43 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
50 |
50 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
61 |
59 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
63 |
62 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
15 |
14 |
$0.00 |
| 90686 |
|
490 |
473 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
602 |
580 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
182 |
182 |
$0.00 |