| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,831 |
13,885 |
$2.94M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,821 |
6,195 |
$439K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,465 |
4,839 |
$272K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
453 |
345 |
$20K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
136 |
100 |
$7K |
| 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 |
50 |
50 |
$4K |
| 99215 |
Prolong outpt/office vis |
27 |
26 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
13 |
13 |
$1K |
| 99442 |
|
14 |
12 |
$709.82 |
| 99307 |
|
25 |
25 |
$690.82 |
| 0011A |
|
14 |
14 |
$580.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
27 |
$245.31 |
| 90686 |
|
25 |
24 |
$237.98 |
| 90688 |
|
14 |
14 |
$183.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
14 |
$169.90 |
| 90756 |
|
12 |
12 |
$166.37 |
| 36415 |
Collection of venous blood by venipuncture |
137 |
134 |
$18.75 |