| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
21,927 |
18,947 |
$3.51M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
808 |
794 |
$137K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
831 |
817 |
$136K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
544 |
536 |
$94K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
740 |
706 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
455 |
431 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
119 |
116 |
$20K |
| 90686 |
|
634 |
621 |
$7K |
| CP006 |
|
298 |
239 |
$4K |
| 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 |
260 |
257 |
$4K |
| CP005 |
|
195 |
176 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
43 |
41 |
$2K |
| 99384 |
|
23 |
21 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,686 |
1,864 |
$2K |
| 90734 |
|
344 |
334 |
$1K |
| 99383 |
|
17 |
16 |
$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 |
| 90656 |
|
22 |
21 |
$739.92 |
| 90670 |
|
265 |
258 |
$701.83 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
44 |
19 |
$698.16 |
| 90651 |
|
312 |
307 |
$527.29 |
| 99307 |
|
20 |
20 |
$492.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$376.56 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
222 |
214 |
$356.42 |
| 90633 |
|
117 |
116 |
$174.54 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
47 |
46 |
$168.92 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$42.33 |
| 90461 |
|
1,932 |
953 |
$1.70 |
| 90710 |
|
93 |
91 |
$0.00 |
| 3078F |
|
403 |
392 |
$0.00 |
| 90715 |
|
101 |
99 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |
| 90648 |
|
40 |
40 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 3074F |
|
665 |
653 |
$0.00 |
| 3008F |
|
957 |
935 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90698 |
|
34 |
31 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |