| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
11,341 |
9,882 |
$648K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,938 |
2,799 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,242 |
4,652 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
497 |
497 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
246 |
246 |
$776.80 |
| 99406 |
|
430 |
390 |
$281.32 |
| 96160 |
|
384 |
384 |
$267.98 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
543 |
540 |
$62.39 |
| 90686 |
|
245 |
245 |
$19.00 |
| 81002 |
|
272 |
260 |
$11.52 |
| 3074F |
|
5,153 |
4,620 |
$0.00 |
| 1034F |
|
2,009 |
1,778 |
$0.00 |
| 3079F |
|
1,953 |
1,843 |
$0.00 |
| 3075F |
|
1,083 |
1,042 |
$0.00 |
| 1036F |
|
3,809 |
3,446 |
$0.00 |
| 2000F |
|
150 |
148 |
$0.00 |
| 2010F |
|
149 |
147 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
145 |
144 |
$0.00 |
| 1220F |
|
78 |
78 |
$0.00 |
| 3078F |
|
4,473 |
4,034 |
$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 |
45 |
42 |
$0.00 |
| 3725F |
|
14 |
14 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27 |
27 |
$0.00 |
| 99401 |
|
18 |
18 |
$0.00 |
| 1090F |
|
18 |
18 |
$0.00 |
| 1160F |
|
56 |
55 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
15 |
15 |
$0.00 |
| 1159F |
|
163 |
160 |
$0.00 |