| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,886 |
3,345 |
$305K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
400 |
369 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
302 |
283 |
$22K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,452 |
1,013 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
619 |
480 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
157 |
153 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,578 |
999 |
$11K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
160 |
132 |
$4K |
| 90461 |
|
822 |
597 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$1K |
| 99318 |
|
12 |
12 |
$820.02 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
66 |
65 |
$353.97 |
| 97169 |
|
26 |
20 |
$270.60 |
| 90649 |
|
84 |
78 |
$20.12 |
| 90658 |
|
17 |
16 |
$19.37 |
| 90670 |
|
71 |
66 |
$0.02 |
| 90734 |
|
114 |
109 |
$0.01 |
| 36415 |
Collection of venous blood by venipuncture |
108 |
90 |
$0.00 |
| 90686 |
|
130 |
127 |
$0.00 |
| 90698 |
|
27 |
27 |
$0.00 |
| 97802 |
|
15 |
14 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90710 |
|
29 |
27 |
$0.00 |
| 90715 |
|
62 |
61 |
$0.00 |