| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
50,831 |
36,525 |
$4.24M |
| 3074F |
|
6,339 |
5,515 |
$415.00 |
| 3078F |
|
5,252 |
4,596 |
$320.00 |
| 3079F |
|
3,970 |
3,525 |
$245.00 |
| 3075F |
|
2,405 |
2,171 |
$165.00 |
| 3077F |
|
803 |
705 |
$90.00 |
| 3080F |
|
670 |
590 |
$65.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28,790 |
21,978 |
$0.46 |
| 99173 |
|
2,466 |
1,802 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,051 |
994 |
$0.00 |
| 1159F |
|
2,211 |
2,025 |
$0.00 |
| 99307 |
|
1,229 |
876 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,251 |
1,066 |
$0.00 |
| 90633 |
|
142 |
107 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
627 |
477 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
90 |
76 |
$0.00 |
| 1160F |
|
2,279 |
2,098 |
$0.00 |
| 3725F |
|
1,802 |
1,658 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
211 |
193 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
565 |
411 |
$0.00 |
| 81003 |
|
834 |
512 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
77 |
60 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,753 |
1,300 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
172 |
57 |
$0.00 |
| 99223 |
Prolong inpt eval add15 m |
254 |
94 |
$0.00 |
| 3016F |
|
80 |
68 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
196 |
160 |
$0.00 |
| 90715 |
|
53 |
41 |
$0.00 |
| 90658 |
|
155 |
51 |
$0.00 |
| 81002 |
|
93 |
71 |
$0.00 |
| 90649 |
|
40 |
29 |
$0.00 |
| 1158F |
|
30 |
29 |
$0.00 |
| 81025 |
|
13 |
13 |
$0.00 |
| 90734 |
|
15 |
15 |
$0.00 |
| 1126F |
|
1,150 |
1,058 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,294 |
12,809 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
610 |
435 |
$0.00 |
| 1036F |
|
1,533 |
1,416 |
$0.00 |
| 00000 |
|
1,000 |
843 |
$0.00 |
| 1170F |
|
1,261 |
1,165 |
$0.00 |
| 1111F |
|
1,220 |
1,046 |
$0.00 |
| 1125F |
|
1,135 |
1,051 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
327 |
208 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,051 |
831 |
$0.00 |
| 92551 |
|
2,073 |
1,573 |
$0.00 |
| 99496 |
|
69 |
25 |
$0.00 |
| 90651 |
|
18 |
15 |
$0.00 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,789 |
276 |
$0.00 |
| 90620 |
|
56 |
38 |
$0.00 |
| 0012A |
|
18 |
14 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| 90619 |
|
13 |
12 |
$0.00 |
| 0011A |
|
17 |
17 |
$0.00 |
| 91301 |
|
37 |
31 |
$0.00 |