| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
35,450 |
26,929 |
$3.38M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,021 |
9,352 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,779 |
14,717 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
79 |
62 |
$115.92 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
668 |
632 |
$4.24 |
| 90837 |
Psychotherapy, 53 minutes with patient |
80 |
43 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
212 |
207 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
135 |
93 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
175 |
171 |
$0.00 |
| 90836 |
|
45 |
37 |
$0.00 |
| 90838 |
|
137 |
87 |
$0.00 |
| 90461 |
|
212 |
202 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
122 |
122 |
$0.00 |
| 90734 |
|
62 |
57 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
604 |
337 |
$0.00 |
| 99307 |
|
14 |
13 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
15 |
15 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
25 |
24 |
$0.00 |
| 90670 |
|
25 |
24 |
$0.00 |
| 90682 |
|
40 |
40 |
$0.00 |
| 90633 |
|
18 |
18 |
$0.00 |
| 99442 |
|
21 |
19 |
$0.00 |
| 96127 |
|
672 |
626 |
$0.00 |
| 90686 |
|
675 |
651 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
42 |
39 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
154 |
143 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,189 |
1,081 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
16 |
13 |
$0.00 |
| 90656 |
|
46 |
45 |
$0.00 |
| 90651 |
|
37 |
36 |
$0.00 |
| 90620 |
|
17 |
12 |
$0.00 |