| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
32,594 |
26,475 |
$5.63M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,169 |
25,051 |
$224K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,694 |
3,481 |
$46K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
972 |
866 |
$13K |
| 92551 |
|
3,142 |
2,399 |
$8K |
| 92552 |
|
1,848 |
1,416 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
548 |
431 |
$5K |
| 90686 |
|
1,861 |
1,515 |
$4K |
| 85018 |
|
3,712 |
2,916 |
$2K |
| 99173 |
|
4,491 |
3,436 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
569 |
401 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
446 |
320 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
178 |
155 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
44 |
41 |
$864.60 |
| 96127 |
|
659 |
501 |
$600.88 |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
301 |
265 |
$541.80 |
| 81001 |
|
1,466 |
1,041 |
$301.93 |
| 0250 |
|
40 |
40 |
$298.70 |
| 81000 |
|
1,905 |
1,368 |
$271.59 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
87 |
62 |
$205.80 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
286 |
153 |
$191.52 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,697 |
1,335 |
$182.86 |
| 98940 |
|
56 |
24 |
$167.20 |
| 81003 |
|
195 |
123 |
$80.43 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
367 |
293 |
$64.26 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
41 |
37 |
$21.60 |
| 3079F |
|
3,800 |
2,472 |
$0.00 |
| 3075F |
|
1,576 |
1,014 |
$0.00 |
| 3074F |
|
15,371 |
9,348 |
$0.00 |
| 3080F |
|
113 |
87 |
$0.00 |
| 91301 |
|
307 |
195 |
$0.00 |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
55 |
55 |
$0.00 |
| 0012A |
|
144 |
95 |
$0.00 |
| 0011A |
|
112 |
71 |
$0.00 |
| 90651 |
|
57 |
52 |
$0.00 |
| 99000 |
|
28 |
17 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
292 |
149 |
$0.00 |
| 3078F |
|
14,498 |
8,855 |
$0.00 |
| 90734 |
|
18 |
12 |
$0.00 |
| 99442 |
|
711 |
630 |
$0.00 |
| 3077F |
|
688 |
454 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
507 |
263 |
$0.00 |
| 90670 |
|
58 |
40 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
23 |
13 |
$0.00 |
| 90715 |
|
17 |
17 |
$0.00 |