| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
22,452 |
19,148 |
$2.64M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,334 |
6,345 |
$140K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,094 |
10,068 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
133 |
109 |
$7K |
| 90686 |
|
254 |
239 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
476 |
453 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
263 |
237 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
222 |
187 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
3,077 |
2,955 |
$32.07 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
24 |
24 |
$15.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
24 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
49 |
48 |
$0.00 |
| 81003 |
|
57 |
55 |
$0.00 |
| 90653 |
|
15 |
14 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
12 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
16 |
$0.00 |
| 96127 |
|
100 |
97 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
247 |
229 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |
| 90694 |
|
16 |
16 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
108 |
95 |
$0.00 |