| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
14,404 |
12,348 |
$864K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,579 |
3,322 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,384 |
6,531 |
$12K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
282 |
282 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
117 |
117 |
$967.96 |
| 96160 |
|
540 |
540 |
$537.72 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
921 |
918 |
$437.97 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
216 |
213 |
$328.56 |
| 81002 |
|
385 |
375 |
$144.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$101.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
18 |
18 |
$101.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
538 |
489 |
$41.20 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
109 |
108 |
$13.71 |
| 3079F |
|
2,472 |
2,328 |
$0.00 |
| 3074F |
|
4,696 |
4,310 |
$0.00 |
| 3075F |
|
918 |
890 |
$0.00 |
| 1220F |
|
136 |
133 |
$0.00 |
| 1036F |
|
1,364 |
1,268 |
$0.00 |
| 3080F |
|
434 |
412 |
$0.00 |
| 2000F |
|
396 |
374 |
$0.00 |
| 90686 |
|
184 |
184 |
$0.00 |
| 1034F |
|
881 |
833 |
$0.00 |
| 1035F |
|
14 |
13 |
$0.00 |
| 2010F |
|
382 |
360 |
$0.00 |
| 3077F |
|
634 |
601 |
$0.00 |
| 3078F |
|
3,435 |
3,204 |
$0.00 |
| 1159F |
|
426 |
398 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
46 |
46 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
45 |
43 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
57 |
54 |
$0.00 |
| 3725F |
|
136 |
132 |
$0.00 |
| 1160F |
|
35 |
34 |
$0.00 |
| 1033F |
|
73 |
69 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
21 |
18 |
$0.00 |