| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
22,285 |
16,036 |
$2.27M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,781 |
10,414 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
675 |
609 |
$140.84 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,025 |
981 |
$72.74 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
493 |
472 |
$15.62 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
733 |
612 |
$5.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
678 |
638 |
$5.00 |
| 81002 |
|
150 |
143 |
$3.13 |
| 99173 |
|
1,634 |
1,515 |
$1.87 |
| 99384 |
|
395 |
359 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
134 |
122 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,656 |
2,513 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,102 |
1,007 |
$0.00 |
| 99441 |
|
295 |
273 |
$0.00 |
| 81000 |
|
299 |
267 |
$0.00 |
| 96127 |
|
14 |
13 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
39 |
32 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
977 |
934 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,468 |
1,383 |
$0.00 |
| 99442 |
|
584 |
546 |
$0.00 |
| 96160 |
|
160 |
130 |
$0.00 |
| 92552 |
|
2,054 |
1,912 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
163 |
161 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
107 |
94 |
$0.00 |
| 81025 |
|
30 |
24 |
$0.00 |