| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,665 |
16,998 |
$1.18M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,639 |
6,599 |
$616K |
| T1015 |
Clinic visit/encounter, all-inclusive |
28,399 |
17,666 |
$121K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
297 |
257 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,127 |
1,678 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
176 |
151 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
398 |
327 |
$5K |
| 90686 |
|
742 |
572 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
357 |
284 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
95 |
65 |
$840.71 |
| 99307 |
|
22 |
14 |
$690.18 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
58 |
50 |
$502.25 |
| 90656 |
|
31 |
30 |
$304.71 |
| 90715 |
|
26 |
24 |
$35.65 |
| 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 |
1,086 |
803 |
$28.37 |
| 1035F |
|
1,261 |
980 |
$0.00 |
| 3079F |
|
3,133 |
2,666 |
$0.00 |
| 96127 |
|
5,005 |
3,948 |
$0.00 |
| 3074F |
|
9,418 |
7,900 |
$0.00 |
| 1034F |
|
3,226 |
2,606 |
$0.00 |
| 3075F |
|
1,474 |
1,266 |
$0.00 |
| 1036F |
|
9,305 |
7,540 |
$0.00 |
| 3008F |
|
14,460 |
11,787 |
$0.00 |
| 3080F |
|
122 |
105 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
33 |
24 |
$0.00 |
| 3078F |
|
8,326 |
7,017 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
233 |
216 |
$0.00 |
| 1160F |
|
11,892 |
9,372 |
$0.00 |
| 1159F |
|
12,092 |
9,483 |
$0.00 |
| 3077F |
|
556 |
447 |
$0.00 |
| 3725F |
|
1,929 |
1,647 |
$0.00 |
| 90734 |
|
29 |
27 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |