| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
28,447 |
15,691 |
$3.79M |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
277 |
184 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,377 |
4,690 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,621 |
747 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,753 |
7,016 |
$0.00 |
| 1111F |
|
889 |
830 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
281 |
98 |
$0.00 |
| 87428 |
|
14 |
14 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
157 |
62 |
$0.00 |
| 99406 |
|
1,168 |
350 |
$0.00 |
| 3075F |
|
54 |
50 |
$0.00 |
| 3074F |
|
108 |
100 |
$0.00 |
| 4010F |
|
26 |
25 |
$0.00 |
| 90651 |
|
45 |
17 |
$0.00 |
| 90686 |
|
201 |
114 |
$0.00 |
| 90723 |
|
46 |
16 |
$0.00 |
| 3079F |
|
79 |
71 |
$0.00 |
| 81003 |
|
113 |
38 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,368 |
401 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
786 |
760 |
$0.00 |
| 90734 |
|
39 |
16 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
34 |
34 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
381 |
118 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
93 |
25 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
73 |
73 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
481 |
235 |
$0.00 |
| 3078F |
|
87 |
81 |
$0.00 |
| 90670 |
|
127 |
54 |
$0.00 |
| 90648 |
|
127 |
53 |
$0.00 |
| 3077F |
|
14 |
14 |
$0.00 |
| 90715 |
|
42 |
24 |
$0.00 |
| 4040F |
|
46 |
42 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
41 |
40 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
107 |
43 |
$0.00 |
| 99401 |
|
58 |
27 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
120 |
40 |
$0.00 |
| 90633 |
|
30 |
12 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
35 |
25 |
$0.00 |