| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
13,555 |
13,154 |
$2.01M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,532 |
3,747 |
$2K |
| 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 |
115 |
115 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
143 |
126 |
$300.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15,566 |
11,144 |
$184.26 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
222 |
171 |
$74.63 |
| 90688 |
|
18 |
18 |
$29.80 |
| 3078F |
|
132 |
110 |
$20.00 |
| G9012 |
Other specified case management service not elsewhere classified |
275 |
271 |
$15.69 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
83 |
80 |
$13.38 |
| 3008F |
|
22 |
22 |
$5.00 |
| 3074F |
|
38 |
31 |
$0.00 |
| 99385 |
|
15 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
19 |
16 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
93 |
73 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
22 |
22 |
$0.00 |
| 3077F |
|
19 |
13 |
$0.00 |