| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
64,540 |
55,538 |
$6.35M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,029 |
1,792 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,437 |
1,420 |
$14K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,586 |
1,436 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,070 |
1,058 |
$7K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
275 |
243 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
833 |
822 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,076 |
23,729 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,165 |
18,616 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
236 |
229 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,178 |
1,164 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,048 |
2,017 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,245 |
4,187 |
$2K |
| 90461 |
|
85 |
81 |
$851.31 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
151 |
127 |
$826.39 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
558 |
552 |
$752.64 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
21 |
13 |
$430.40 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
36 |
36 |
$428.67 |
| 3079F |
|
154 |
151 |
$180.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
600 |
594 |
$103.02 |
| 99215 |
Prolong outpt/office vis |
1,640 |
1,554 |
$99.95 |
| 90686 |
|
1,531 |
1,508 |
$84.80 |
| 90715 |
|
282 |
277 |
$80.48 |
| 3074F |
|
207 |
200 |
$80.00 |
| 3075F |
|
117 |
113 |
$80.00 |
| 3078F |
|
180 |
169 |
$80.00 |
| 36415 |
Collection of venous blood by venipuncture |
3,857 |
3,728 |
$71.50 |
| 90723 |
|
494 |
489 |
$0.00 |
| 96127 |
|
324 |
314 |
$0.00 |
| 90680 |
|
548 |
539 |
$0.00 |
| 90697 |
|
83 |
80 |
$0.00 |
| 90647 |
|
89 |
89 |
$0.00 |
| 3008F |
|
402 |
398 |
$0.00 |
| 90716 |
|
74 |
69 |
$0.00 |
| 90677 |
|
183 |
183 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
541 |
516 |
$0.00 |
| 90651 |
|
227 |
221 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$0.00 |
| 90474 |
|
31 |
31 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
35 |
34 |
$0.00 |
| 99495 |
|
12 |
12 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
72 |
70 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 11102 |
|
12 |
12 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |
| 90656 |
|
103 |
103 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,654 |
1,624 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,203 |
2,157 |
$0.00 |
| 90670 |
|
1,032 |
1,014 |
$0.00 |
| 17110 |
|
532 |
435 |
$0.00 |
| 90648 |
|
607 |
596 |
$0.00 |
| 90707 |
|
86 |
81 |
$0.00 |
| 90734 |
|
233 |
227 |
$0.00 |
| 99177 |
|
183 |
180 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
28 |
25 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
794 |
765 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
201 |
194 |
$0.00 |
| 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 |
75 |
74 |
$0.00 |
| 90633 |
|
202 |
197 |
$0.00 |
| 91300 |
|
12 |
12 |
$0.00 |