| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,618 |
5,650 |
$955K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,635 |
3,279 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,383 |
2,197 |
$25K |
| 99215 |
Prolong outpt/office vis |
899 |
824 |
$15K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
20 |
18 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
63 |
61 |
$34.80 |
| 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) |
127 |
125 |
$5.40 |
| 90686 |
|
12 |
12 |
$3.37 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
73 |
72 |
$0.00 |