| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,321 |
9,635 |
$966K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,270 |
6,506 |
$153K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,609 |
3,125 |
$58K |
| 99350 |
Prolong home eval add 15m |
330 |
318 |
$16K |
| 99215 |
Prolong outpt/office vis |
368 |
340 |
$7K |
| 80305 |
|
1,008 |
907 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
266 |
257 |
$7K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
357 |
271 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
1,291 |
1,193 |
$6K |
| 99347 |
|
306 |
253 |
$5K |
| 99337 |
|
32 |
27 |
$3K |
| 99348 |
|
42 |
40 |
$3K |
| 99336 |
|
36 |
33 |
$1K |
| 99349 |
|
15 |
14 |
$1K |
| 99310 |
Prolong nursin fac eval 15m |
15 |
12 |
$916.92 |
| 99326 |
|
16 |
15 |
$402.76 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
14 |
$189.68 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
494 |
426 |
$154.36 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
33 |
28 |
$1.68 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
14 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
23 |
23 |
$0.00 |