| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,465 |
6,037 |
$667K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,064 |
3,852 |
$231K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,730 |
1,654 |
$69K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
31 |
31 |
$3K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
32 |
30 |
$2K |
| Q3014 |
Telehealth originating site facility fee |
53 |
52 |
$1K |
| 90686 |
|
80 |
79 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
46 |
44 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
53 |
52 |
$472.24 |
| 99406 |
|
32 |
31 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
16 |
12 |
$0.00 |