| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
75,772 |
60,644 |
$11.23M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39,897 |
33,826 |
$973K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12,941 |
11,420 |
$304K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,278 |
4,168 |
$146K |
| 59025 |
Fetal non-stress test |
2,832 |
1,130 |
$79K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
908 |
521 |
$71K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
1,739 |
1,589 |
$58K |
| 81002 |
|
10,937 |
9,322 |
$33K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
507 |
504 |
$27K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
801 |
776 |
$21K |
| 99401 |
|
974 |
698 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
218 |
218 |
$14K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
817 |
450 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
86 |
86 |
$13K |
| 81025 |
|
3,167 |
3,106 |
$12K |
| 90715 |
|
178 |
178 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
57 |
57 |
$5K |
| 99215 |
Prolong outpt/office vis |
136 |
134 |
$4K |
| 96156 |
|
221 |
213 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
386 |
384 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
418 |
418 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
35 |
26 |
$2K |
| 90686 |
|
61 |
61 |
$1K |
| 59425 |
|
13 |
13 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
16 |
$806.22 |
| 97802 |
|
13 |
13 |
$328.25 |
| 85018 |
|
30 |
30 |
$71.92 |
| 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 |
63 |
54 |
$3.77 |
| 0502F |
|
113 |
78 |
$0.00 |
| 3078F |
|
590 |
465 |
$0.00 |
| 1159F |
|
21 |
18 |
$0.00 |
| 3074F |
|
602 |
467 |
$0.00 |
| 2010F |
|
34 |
31 |
$0.00 |
| 1126F |
|
15 |
12 |
$0.00 |
| 3008F |
|
487 |
398 |
$0.00 |
| 1036F |
|
30 |
28 |
$0.00 |