| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
11,457 |
9,586 |
$1.29M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,758 |
6,059 |
$65K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,676 |
4,194 |
$30K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
431 |
416 |
$2K |
| 99215 |
Prolong outpt/office vis |
153 |
151 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
141 |
130 |
$1K |
| 80053 |
Comprehensive metabolic panel |
28 |
28 |
$924.09 |
| 36415 |
Collection of venous blood by venipuncture |
91 |
90 |
$879.58 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
48 |
40 |
$877.75 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
395 |
351 |
$685.85 |
| 80061 |
Lipid panel |
13 |
13 |
$340.66 |
| Q3014 |
Telehealth originating site facility fee |
89 |
88 |
$317.20 |
| 90686 |
|
81 |
79 |
$297.61 |
| 99406 |
|
199 |
192 |
$149.11 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$47.25 |
| 90832 |
Psychotherapy, 30 minutes with patient |
64 |
56 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
24 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
38 |
36 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
22 |
13 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
92 |
89 |
$0.00 |