| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,459 |
9,919 |
$1.97M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
796 |
786 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,858 |
4,298 |
$4K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
13 |
13 |
$660.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,816 |
1,733 |
$54.42 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
14 |
13 |
$20.46 |
| 96161 |
|
290 |
284 |
$3.83 |
| 90651 |
|
26 |
26 |
$0.00 |
| 3074F |
|
844 |
818 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
400 |
398 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
31 |
31 |
$0.00 |
| 96127 |
|
318 |
309 |
$0.00 |
| 90474 |
|
117 |
116 |
$0.00 |
| 3079F |
|
306 |
302 |
$0.00 |
| 92551 |
|
733 |
725 |
$0.00 |
| 90680 |
|
112 |
112 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
776 |
764 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
848 |
841 |
$0.00 |
| 85018 |
|
102 |
101 |
$0.00 |
| 3075F |
|
119 |
118 |
$0.00 |
| 87807 |
|
31 |
30 |
$0.00 |
| 90647 |
|
157 |
156 |
$0.00 |
| 90723 |
|
140 |
140 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |
| 90674 |
|
201 |
200 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
415 |
412 |
$0.00 |
| 3288F |
|
764 |
750 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
416 |
414 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
521 |
507 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,420 |
1,281 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
154 |
150 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
409 |
408 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
250 |
247 |
$0.00 |
| 3078F |
|
702 |
686 |
$0.00 |
| 90670 |
|
202 |
202 |
$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 |
350 |
332 |
$0.00 |
| 81002 |
|
627 |
491 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
94 |
94 |
$0.00 |
| 90715 |
|
86 |
84 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
207 |
207 |
$0.00 |
| 90682 |
|
38 |
38 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
370 |
328 |
$0.00 |
| 83655 |
|
59 |
59 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
392 |
384 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
235 |
233 |
$0.00 |
| 99173 |
|
700 |
694 |
$0.00 |
| 90734 |
|
54 |
53 |
$0.00 |
| 3077F |
|
40 |
40 |
$0.00 |
| 99307 |
|
66 |
58 |
$0.00 |
| 81025 |
|
26 |
26 |
$0.00 |
| 99188 |
|
13 |
13 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |
| 90633 |
|
16 |
16 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$0.00 |