| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
18,228 |
15,774 |
$3.65M |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,195 |
1,382 |
$66K |
| 99310 |
Prolong nursin fac eval 15m |
816 |
599 |
$42K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
651 |
637 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
264 |
263 |
$4K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
54 |
38 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
176 |
175 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
122 |
116 |
$2K |
| 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 |
37 |
36 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
289 |
285 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
74 |
56 |
$902.14 |
| 99307 |
|
28 |
27 |
$792.57 |
| 90686 |
|
733 |
705 |
$543.80 |
| 90461 |
|
54 |
53 |
$525.50 |
| 3078F |
|
131 |
127 |
$360.00 |
| 3074F |
|
137 |
131 |
$360.00 |
| 96127 |
|
81 |
81 |
$286.67 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
555 |
550 |
$142.52 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,734 |
7,299 |
$103.74 |
| 3079F |
|
43 |
41 |
$80.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
317 |
311 |
$68.80 |
| 3075F |
|
26 |
26 |
$60.00 |
| 99173 |
|
134 |
133 |
$37.62 |
| 99215 |
Prolong outpt/office vis |
1,592 |
1,541 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
272 |
271 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
28 |
28 |
$0.00 |
| 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) |
145 |
141 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
102 |
102 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,141 |
2,939 |
$0.00 |
| 3008F |
|
326 |
321 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
26 |
26 |
$0.00 |
| 90656 |
|
48 |
47 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |