| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
54,410 |
47,593 |
$2.13M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40,561 |
36,451 |
$599K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,150 |
15,662 |
$122K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
3,616 |
2,845 |
$102K |
| 99215 |
Prolong outpt/office vis |
1,447 |
1,378 |
$51K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
2,803 |
1,464 |
$40K |
| G9001 |
Coordinated care fee, initial rate |
3,492 |
3,456 |
$36K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,178 |
972 |
$31K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,537 |
1,455 |
$22K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
985 |
917 |
$18K |
| 99223 |
Prolong inpt eval add15 m |
365 |
337 |
$15K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
772 |
557 |
$15K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
448 |
437 |
$6K |
| 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) |
588 |
544 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
188 |
175 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
58 |
53 |
$2K |
| 99205 |
Prolong outpt/office vis |
31 |
30 |
$1K |
| 93000 |
|
876 |
775 |
$1K |
| 94060 |
|
167 |
164 |
$881.72 |
| 99443 |
|
72 |
50 |
$721.10 |
| 94726 |
|
182 |
179 |
$582.84 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
28 |
$491.83 |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
12 |
12 |
$408.00 |
| 94729 |
|
169 |
166 |
$400.21 |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
13 |
13 |
$392.96 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$392.15 |
| 81002 |
|
772 |
639 |
$248.28 |
| 93018 |
|
102 |
96 |
$174.85 |
| 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 |
94 |
81 |
$132.18 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
17 |
13 |
$62.88 |
| 51798 |
|
84 |
75 |
$46.37 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,495 |
1,459 |
$43.00 |
| 81003 |
|
15 |
14 |
$4.98 |
| 90686 |
|
414 |
405 |
$0.00 |
| 99000 |
|
87 |
85 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
13 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
130 |
120 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
77 |
77 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
66 |
65 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
42 |
40 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
57 |
56 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
17 |
12 |
$0.00 |