| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
10,106 |
8,524 |
$1.91M |
| 99307 |
|
1,146 |
1,146 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
110 |
110 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
90 |
88 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,186 |
1,061 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
281 |
263 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24 |
24 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$3K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
45 |
37 |
$2K |
| 90686 |
|
72 |
48 |
$571.95 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,777 |
764 |
$313.60 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
27 |
$210.00 |
| 90715 |
|
13 |
13 |
$193.57 |
| 90633 |
|
12 |
12 |
$193.57 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
38 |
38 |
$0.00 |
| 90677 |
|
14 |
14 |
$0.00 |
| 90461 |
|
521 |
411 |
$0.00 |
| 90734 |
|
26 |
26 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |