| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
22,744 |
18,402 |
$2.98M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,443 |
5,675 |
$304K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,853 |
1,779 |
$257K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,877 |
7,778 |
$227K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,203 |
1,193 |
$103K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
766 |
723 |
$18K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
356 |
347 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
104 |
103 |
$12K |
| 99215 |
Prolong outpt/office vis |
214 |
207 |
$11K |
| 93000 |
|
191 |
185 |
$9K |
| 59430 |
|
90 |
84 |
$9K |
| 90671 |
|
27 |
25 |
$7K |
| H1000 |
Prenatal care, at-risk assessment |
39 |
39 |
$6K |
| 90677 |
|
30 |
30 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
245 |
195 |
$5K |
| 90686 |
|
239 |
234 |
$5K |
| 81025 |
|
882 |
848 |
$4K |
| 90715 |
|
91 |
91 |
$3K |
| 59425 |
|
15 |
13 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
27 |
27 |
$1K |
| 90698 |
|
12 |
12 |
$1K |
| 90680 |
|
12 |
12 |
$1K |
| 99243 |
|
18 |
16 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
29 |
25 |
$735.03 |
| 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 |
29 |
27 |
$642.19 |
| 93356 |
|
13 |
13 |
$419.38 |
| 90461 |
|
13 |
13 |
$205.16 |
| 81003 |
|
64 |
60 |
$193.37 |
| 85018 |
|
51 |
50 |
$95.15 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
48 |
47 |
$66.90 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$37.39 |
| Z1034 |
|
1,589 |
1,211 |
$0.00 |
| Z1038 |
|
13 |
12 |
$0.00 |