| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
41,055 |
32,092 |
$3.33M |
| 3074F |
|
6,167 |
5,312 |
$200.00 |
| 3079F |
|
4,133 |
3,643 |
$190.00 |
| 3078F |
|
5,105 |
4,430 |
$150.00 |
| 3077F |
|
649 |
572 |
$110.00 |
| 3075F |
|
2,326 |
2,099 |
$90.00 |
| 3080F |
|
520 |
455 |
$65.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,831 |
19,970 |
$0.09 |
| 3725F |
|
1,737 |
1,599 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
546 |
485 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
435 |
327 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
323 |
265 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
247 |
211 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
905 |
755 |
$0.00 |
| 3016F |
|
90 |
86 |
$0.00 |
| 99173 |
|
1,681 |
1,283 |
$0.00 |
| 81003 |
|
934 |
671 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
221 |
194 |
$0.00 |
| 1160F |
|
2,007 |
1,852 |
$0.00 |
| 1159F |
|
2,095 |
1,929 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,257 |
1,164 |
$0.00 |
| 1158F |
|
524 |
493 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
50 |
46 |
$0.00 |
| 81025 |
|
30 |
25 |
$0.00 |
| 90649 |
|
12 |
12 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
15 |
$0.00 |
| 99408 |
|
14 |
12 |
$0.00 |
| 90658 |
|
28 |
24 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,544 |
11,079 |
$0.00 |
| 00000 |
|
971 |
853 |
$0.00 |
| 92551 |
|
1,237 |
990 |
$0.00 |
| 1126F |
|
1,038 |
947 |
$0.00 |
| 1036F |
|
1,335 |
1,224 |
$0.00 |
| 1170F |
|
1,492 |
1,339 |
$0.00 |
| 1125F |
|
943 |
874 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
179 |
116 |
$0.00 |
| 1111F |
|
1,166 |
1,072 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,280 |
1,060 |
$0.00 |
| 3008F |
|
33 |
29 |
$0.00 |
| 1101F |
|
17 |
13 |
$0.00 |
| 90620 |
|
35 |
27 |
$0.00 |
| 99385 |
|
15 |
13 |
$0.00 |
| 0012A |
|
22 |
18 |
$0.00 |
| 91301 |
|
56 |
41 |
$0.00 |
| 0011A |
|
29 |
21 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
62 |
44 |
$0.00 |
| 3048F |
|
14 |
14 |
$0.00 |