| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
142,327 |
125,337 |
$14.58M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
100,576 |
89,782 |
$516K |
| 97802 |
|
1,215 |
1,148 |
$108K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,554 |
2,551 |
$76K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,072 |
7,668 |
$67K |
| 90686 |
|
2,944 |
2,923 |
$62K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,606 |
8,270 |
$42K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
888 |
887 |
$35K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,120 |
4,088 |
$34K |
| 0002A |
|
414 |
215 |
$21K |
| 90670 |
|
138 |
138 |
$19K |
| 90732 |
|
238 |
235 |
$16K |
| 90715 |
|
491 |
483 |
$16K |
| 11721 |
|
362 |
362 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
469 |
468 |
$14K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,303 |
3,860 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
392 |
309 |
$9K |
| 0001A |
|
163 |
84 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
867 |
863 |
$6K |
| 2010F |
|
646 |
585 |
$4K |
| 90677 |
|
17 |
17 |
$4K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
142 |
134 |
$4K |
| 90636 |
|
48 |
48 |
$3K |
| 92250 |
|
71 |
68 |
$3K |
| 20610 |
|
52 |
45 |
$3K |
| 90746 |
|
45 |
45 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
294 |
294 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
384 |
332 |
$2K |
| 0011A |
|
34 |
20 |
$2K |
| 99385 |
|
52 |
51 |
$1K |
| 96127 |
|
217 |
214 |
$1K |
| 11056 |
|
39 |
38 |
$941.90 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
919 |
780 |
$632.65 |
| 99386 |
|
92 |
92 |
$572.43 |
| 0013A |
|
15 |
14 |
$560.00 |
| 99397 |
|
45 |
44 |
$465.00 |
| 86580 |
|
130 |
109 |
$449.25 |
| 82948 |
|
157 |
151 |
$370.12 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$257.04 |
| 81002 |
|
94 |
92 |
$228.08 |
| 1159F |
|
719 |
657 |
$142.24 |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$58.92 |
| 3078F |
|
578 |
555 |
$0.00 |
| 3016F |
|
124 |
122 |
$0.00 |
| 81025 |
|
13 |
13 |
$0.00 |
| 1124F |
|
12 |
12 |
$0.00 |
| 3008F |
|
1,383 |
1,317 |
$0.00 |
| 3074F |
|
468 |
446 |
$0.00 |
| 1036F |
|
217 |
214 |
$0.00 |
| 3079F |
|
28 |
28 |
$0.00 |
| 2000F |
|
42 |
37 |
$0.00 |
| 3075F |
|
26 |
26 |
$0.00 |
| 1000F |
|
14 |
14 |
$0.00 |