| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
69,000 |
57,876 |
$9.13M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30,483 |
25,714 |
$191K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,931 |
23,446 |
$83K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
738 |
565 |
$26K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
505 |
368 |
$10K |
| 20610 |
|
100 |
67 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
305 |
286 |
$939.85 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
40 |
37 |
$896.10 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
333 |
304 |
$743.59 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
293 |
208 |
$670.90 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
670 |
533 |
$552.37 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
209 |
177 |
$336.54 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
201 |
166 |
$323.71 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,546 |
2,388 |
$232.07 |
| 99215 |
Prolong outpt/office vis |
15 |
12 |
$132.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
95 |
86 |
$78.82 |
| 96160 |
|
155 |
141 |
$70.53 |
| 69210 |
|
15 |
13 |
$56.00 |
| 90686 |
|
1,334 |
1,204 |
$54.52 |
| 90461 |
|
978 |
937 |
$41.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
623 |
527 |
$38.89 |
| 96127 |
|
150 |
137 |
$22.65 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
101 |
67 |
$2.50 |
| 90677 |
|
12 |
12 |
$0.05 |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
71 |
69 |
$0.00 |
| 90656 |
|
115 |
95 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
30 |
28 |
$0.00 |
| 99459 |
|
12 |
12 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
36 |
24 |
$0.00 |
| 90634 |
|
21 |
14 |
$0.00 |
| 90651 |
|
14 |
12 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
77 |
72 |
$0.00 |
| 90670 |
|
89 |
81 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
62 |
58 |
$0.00 |
| 90655 |
|
12 |
12 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |