| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
71,388 |
63,796 |
$11.28M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41,475 |
37,813 |
$170K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,067 |
17,901 |
$144K |
| 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 |
341 |
312 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
92 |
88 |
$321.43 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,427 |
1,422 |
$57.87 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
628 |
520 |
$39.97 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
365 |
363 |
$18.15 |
| G0008 |
Administration of influenza virus vaccine |
26 |
26 |
$17.36 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
299 |
298 |
$11.26 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
254 |
246 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
331 |
301 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
219 |
219 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
243 |
243 |
$0.00 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
15 |
13 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
97 |
97 |
$0.00 |
| 521 |
|
18 |
15 |
$0.00 |
| 90715 |
|
34 |
34 |
$0.00 |
| 90661 |
|
12 |
12 |
$0.00 |
| 90686 |
|
59 |
59 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
96 |
83 |
$0.00 |
| 90674 |
|
68 |
68 |
$0.00 |