| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
8,430 |
6,987 |
$807K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,359 |
2,060 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,109 |
2,727 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
898 |
819 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
46 |
45 |
$0.00 |
| 99384 |
|
16 |
14 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
81 |
76 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
686 |
637 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
50 |
50 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
26 |
26 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
44 |
44 |
$0.00 |