| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
17,590 |
13,979 |
$2.25M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,288 |
9,808 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,981 |
2,789 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
349 |
285 |
$7K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
164 |
164 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,622 |
1,495 |
$3K |
| 90686 |
|
71 |
70 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
76 |
70 |
$24.01 |
| 81002 |
|
30 |
27 |
$15.05 |
| Q3014 |
Telehealth originating site facility fee |
13 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
187 |
184 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
13 |
$0.00 |
| 90658 |
|
27 |
27 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
14 |
$0.00 |