| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
9,795 |
6,849 |
$931K |
| 3078F |
|
1,182 |
923 |
$75.00 |
| 3074F |
|
1,109 |
864 |
$75.00 |
| 82947 |
|
696 |
364 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,485 |
1,897 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
237 |
176 |
$0.00 |
| 3725F |
|
755 |
593 |
$0.00 |
| 90473 |
|
15 |
15 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
86 |
54 |
$0.00 |
| 3016F |
|
65 |
56 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
14 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
93 |
48 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
12 |
$0.00 |
| 99173 |
|
101 |
90 |
$0.00 |
| 90672 |
|
15 |
15 |
$0.00 |
| 3210F |
|
17 |
12 |
$0.00 |
| 30086 |
|
15 |
14 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$0.00 |
| 30786 |
|
13 |
12 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
413 |
271 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,017 |
3,081 |
$0.00 |
| 1034F |
|
381 |
281 |
$0.00 |
| 3075F |
|
63 |
52 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
193 |
50 |
$0.00 |
| 1036F |
|
574 |
460 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,647 |
1,294 |
$0.00 |
| 3008F |
|
1,544 |
1,178 |
$0.00 |
| 1126F |
|
882 |
709 |
$0.00 |
| 1111F |
|
557 |
448 |
$0.00 |
| 1031F |
|
333 |
237 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
373 |
281 |
$0.00 |
| 92551 |
|
93 |
82 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
86 |
66 |
$0.00 |
| 90686 |
|
101 |
80 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
29 |
21 |
$0.00 |