| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
32,977 |
28,073 |
$3.81M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,486 |
13,869 |
$108K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,319 |
5,755 |
$41K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,813 |
3,465 |
$26K |
| 90686 |
|
492 |
467 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
198 |
191 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
298 |
282 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
25 |
25 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
135 |
128 |
$1K |
| 90715 |
|
26 |
26 |
$974.40 |
| 90734 |
|
78 |
75 |
$966.42 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
798 |
747 |
$42.66 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
62 |
58 |
$29.76 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
122 |
109 |
$0.01 |
| 90832 |
Psychotherapy, 30 minutes with patient |
633 |
270 |
$0.00 |
| 90649 |
|
14 |
12 |
$0.00 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
400 |
398 |
$0.00 |
| 90658 |
|
16 |
16 |
$0.00 |
| 3078F |
|
38 |
30 |
$0.00 |
| 90661 |
|
20 |
20 |
$0.00 |
| 3077F |
|
13 |
12 |
$0.00 |
| 99307 |
|
18 |
15 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
424 |
377 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
331 |
212 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
12 |
12 |
$0.00 |