| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
20,375 |
18,716 |
$2.04M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,309 |
11,284 |
$695K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,573 |
6,187 |
$405K |
| 99215 |
Prolong outpt/office vis |
883 |
836 |
$65K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,784 |
1,472 |
$40K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,364 |
1,345 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
131 |
131 |
$9K |
| 87807 |
|
301 |
296 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
43 |
39 |
$3K |
| 81002 |
|
865 |
851 |
$3K |
| 81025 |
|
273 |
271 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
16 |
14 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
17 |
16 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
26 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
15 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24 |
24 |
$842.52 |
| 90686 |
|
53 |
53 |
$566.11 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
108 |
106 |
$490.73 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
93 |
91 |
$473.16 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
134 |
130 |
$264.67 |
| 96127 |
|
127 |
126 |
$221.08 |
| 90656 |
|
25 |
25 |
$137.39 |
| 90670 |
|
12 |
12 |
$71.56 |
| 90685 |
|
12 |
12 |
$65.60 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
92 |
91 |
$37.84 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$6.67 |
| 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) |
458 |
449 |
$0.00 |