| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
75,625 |
59,252 |
$9.00M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47,533 |
39,232 |
$127K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,003 |
8,979 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,155 |
2,055 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
986 |
899 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
877 |
829 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,355 |
4,795 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,143 |
5,709 |
$6K |
| 90686 |
|
2,150 |
2,035 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,477 |
3,197 |
$2K |
| 11721 |
|
223 |
194 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
601 |
571 |
$2K |
| 90651 |
|
277 |
264 |
$2K |
| 90670 |
|
1,395 |
1,320 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
160 |
74 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
753 |
711 |
$790.20 |
| 90710 |
|
147 |
144 |
$720.20 |
| 90734 |
|
200 |
180 |
$564.65 |
| 90633 |
|
364 |
340 |
$517.32 |
| 90696 |
|
87 |
81 |
$409.32 |
| 99215 |
Prolong outpt/office vis |
431 |
390 |
$299.85 |
| 99307 |
|
48 |
38 |
$289.69 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
69 |
69 |
$289.10 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,734 |
1,241 |
$212.24 |
| 90715 |
|
252 |
224 |
$187.75 |
| 90647 |
|
681 |
650 |
$91.08 |
| 90700 |
|
13 |
13 |
$20.96 |
| 90656 |
|
35 |
35 |
$15.23 |
| 90474 |
|
223 |
208 |
$6.86 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$0.96 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,610 |
2,347 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
211 |
198 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
44 |
39 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
55 |
52 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
294 |
274 |
$0.00 |
| 17110 |
|
13 |
12 |
$0.00 |
| 90473 |
|
19 |
19 |
$0.00 |
| 90750 |
|
14 |
12 |
$0.00 |
| 90671 |
|
40 |
40 |
$0.00 |
| 90680 |
|
849 |
801 |
$0.00 |
| 90723 |
|
751 |
710 |
$0.00 |
| 90697 |
|
240 |
232 |
$0.00 |
| 90620 |
|
51 |
44 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
42 |
38 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
14 |
$0.00 |
| 99459 |
|
15 |
15 |
$0.00 |