| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
26,989 |
21,627 |
$3.84M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,249 |
15,005 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,326 |
4,091 |
$12K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
516 |
512 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
529 |
451 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,359 |
3,142 |
$8K |
| Q3014 |
Telehealth originating site facility fee |
135 |
108 |
$3K |
| 90686 |
|
83 |
83 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
41 |
$1K |
| 87430 |
|
80 |
79 |
$556.24 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
97 |
95 |
$438.50 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
134 |
133 |
$383.81 |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
68 |
68 |
$291.28 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
31 |
26 |
$198.48 |
| 81025 |
|
30 |
29 |
$84.00 |
| 81002 |
|
163 |
147 |
$77.40 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
104 |
104 |
$74.78 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
69 |
64 |
$31.92 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
154 |
151 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
40 |
40 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
79 |
79 |
$0.00 |