| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
17,580 |
15,836 |
$2.39M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,852 |
11,795 |
$465K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,548 |
3,260 |
$164K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
140 |
133 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
351 |
337 |
$7K |
| 99215 |
Prolong outpt/office vis |
19 |
19 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
14 |
14 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
136 |
129 |
$806.41 |
| 90686 |
|
50 |
48 |
$547.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
33 |
29 |
$18.41 |
| 99417 |
Prolong home eval add 15m |
15 |
14 |
$0.00 |