| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
17,693 |
15,946 |
$5.09M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,480 |
10,262 |
$730K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,595 |
6,895 |
$361K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
158 |
144 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
162 |
143 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
89 |
87 |
$7K |
| 99215 |
Prolong outpt/office vis |
55 |
52 |
$4K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
44 |
42 |
$4K |
| 90756 |
|
86 |
85 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
630 |
565 |
$2K |
| 90686 |
|
103 |
103 |
$1K |
| 92552 |
|
141 |
135 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 90670 |
|
157 |
142 |
$1K |
| 90685 |
|
85 |
76 |
$1K |
| 90688 |
|
115 |
94 |
$894.06 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$711.95 |
| 90648 |
|
45 |
40 |
$216.37 |
| 90633 |
|
46 |
44 |
$163.42 |
| 90474 |
|
43 |
38 |
$87.66 |
| 90680 |
|
12 |
12 |
$76.47 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
131 |
107 |
$39.00 |
| 90461 |
|
189 |
173 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
257 |
240 |
$0.00 |