| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
25,791 |
22,631 |
$4.97M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,391 |
7,467 |
$480K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,134 |
5,564 |
$270K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
361 |
341 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
181 |
181 |
$16K |
| 99215 |
Prolong outpt/office vis |
71 |
66 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
45 |
44 |
$4K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
32 |
27 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$2K |
| 90686 |
|
193 |
192 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
13 |
$795.85 |
| 90670 |
|
133 |
131 |
$548.72 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
14 |
$431.73 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
45 |
45 |
$275.19 |
| 90685 |
|
53 |
53 |
$255.36 |
| 90680 |
|
85 |
83 |
$170.92 |
| 90648 |
|
27 |
26 |
$93.18 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$81.16 |
| 90633 |
|
13 |
13 |
$30.00 |
| 90723 |
|
14 |
13 |
$23.84 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
888 |
826 |
$0.00 |