| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
30,913 |
22,758 |
$5.55M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,712 |
9,195 |
$41.53 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,643 |
2,556 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,371 |
2,538 |
$0.00 |
| 81025 |
|
4,479 |
2,880 |
$0.00 |
| 81003 |
|
960 |
765 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
142 |
111 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
64 |
58 |
$0.00 |
| 81002 |
|
1,352 |
772 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,845 |
2,735 |
$0.00 |
| 1159F |
|
1,308 |
1,069 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
40 |
25 |
$0.00 |
| 99307 |
|
159 |
151 |
$0.00 |
| 3077F |
|
75 |
58 |
$0.00 |
| 1160F |
|
351 |
283 |
$0.00 |
| 3078F |
|
17 |
16 |
$0.00 |
| J1380 |
Injection, estradiol valerate, up to 10 mg |
14 |
12 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
25 |
$0.00 |
| J1000 |
Injection, depo-estradiol cypionate, up to 5 mg |
22 |
13 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
19 |
12 |
$0.00 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
40 |
25 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,246 |
8,935 |
$0.00 |
| 1220F |
|
956 |
785 |
$0.00 |
| 87807 |
|
377 |
280 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
228 |
176 |
$0.00 |
| 1126F |
|
596 |
511 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,913 |
2,168 |
$0.00 |
| 96127 |
|
854 |
643 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
418 |
211 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
115 |
99 |
$0.00 |
| 1125F |
|
220 |
181 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
33 |
26 |
$0.00 |
| 3074F |
|
17 |
16 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
191 |
79 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
131 |
88 |
$0.00 |
| 3079F |
|
33 |
25 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
13 |
12 |
$0.00 |
| 00000 |
|
37 |
32 |
$0.00 |