| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,956 |
11,465 |
$818K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,327 |
9,205 |
$467K |
| T1015 |
Clinic visit/encounter, all-inclusive |
13,507 |
11,069 |
$148K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
773 |
599 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
165 |
152 |
$12K |
| 99307 |
|
921 |
794 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,385 |
1,059 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
93 |
85 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
80 |
60 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
57 |
37 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
482 |
246 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
41 |
36 |
$3K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
122 |
70 |
$2K |
| 90686 |
|
238 |
172 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
92 |
70 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
95 |
72 |
$1K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
15 |
12 |
$73.56 |
| 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 |
87 |
56 |
$36.84 |
| 1159F |
|
11,791 |
9,501 |
$0.00 |
| 3078F |
|
8,412 |
6,989 |
$0.00 |
| 1160F |
|
12,949 |
10,500 |
$0.00 |
| 3725F |
|
1,983 |
1,647 |
$0.00 |
| 3077F |
|
101 |
89 |
$0.00 |
| 90633 |
|
28 |
25 |
$0.00 |
| 99173 |
|
25 |
12 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$0.00 |
| 1125F |
|
2,571 |
2,139 |
$0.00 |
| 3074F |
|
10,021 |
8,313 |
$0.00 |
| 1126F |
|
4,912 |
4,024 |
$0.00 |
| 3079F |
|
2,705 |
2,239 |
$0.00 |
| 1036F |
|
9,176 |
7,581 |
$0.00 |
| 3008F |
|
13,250 |
10,906 |
$0.00 |
| 3075F |
|
472 |
409 |
$0.00 |
| 3080F |
|
30 |
26 |
$0.00 |
| 1034F |
|
852 |
704 |
$0.00 |
| 1035F |
|
41 |
38 |
$0.00 |