| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
70,077 |
59,569 |
$10.14M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
10,004 |
6,768 |
$194K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,632 |
7,066 |
$130K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,745 |
3,894 |
$125K |
| 92551 |
|
22,469 |
16,081 |
$101K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
23,041 |
10,183 |
$54K |
| 99173 |
|
21,491 |
14,969 |
$24K |
| 85018 |
|
19,074 |
13,861 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,293 |
2,528 |
$20K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,382 |
823 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,135 |
2,486 |
$11K |
| 83655 |
|
740 |
594 |
$5K |
| 81003 |
|
2,017 |
1,940 |
$5K |
| 90670 |
|
2,094 |
1,795 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
449 |
393 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,894 |
15,440 |
$3K |
| 90723 |
|
1,704 |
1,468 |
$3K |
| 99383 |
|
472 |
396 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
23,445 |
14,415 |
$2K |
| 90648 |
|
1,014 |
883 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,398 |
9,852 |
$2K |
| 90633 |
|
913 |
728 |
$1K |
| 99384 |
|
243 |
207 |
$1K |
| 90681 |
|
668 |
596 |
$972.00 |
| 99385 |
|
136 |
86 |
$914.52 |
| 90734 |
|
527 |
356 |
$862.17 |
| 90461 |
|
8,868 |
6,504 |
$797.25 |
| 90716 |
|
729 |
613 |
$675.00 |
| 99382 |
|
73 |
49 |
$531.46 |
| 90696 |
|
458 |
390 |
$513.00 |
| 99215 |
Prolong outpt/office vis |
1,158 |
867 |
$491.52 |
| 90710 |
|
373 |
326 |
$468.00 |
| 3008F |
|
1,712 |
1,674 |
$425.00 |
| 90707 |
|
262 |
214 |
$315.00 |
| 99381 |
|
78 |
65 |
$306.81 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
238 |
165 |
$262.50 |
| 90677 |
|
67 |
54 |
$260.43 |
| 90715 |
|
643 |
547 |
$240.56 |
| 86580 |
|
75 |
66 |
$129.89 |
| 90647 |
|
126 |
102 |
$27.00 |
| 90688 |
|
20 |
16 |
$18.00 |
| 90686 |
|
107 |
83 |
$18.00 |
| 85014 |
|
14 |
14 |
$12.90 |
| 90680 |
|
35 |
29 |
$9.00 |
| 90619 |
|
45 |
41 |
$9.00 |
| 85013 |
|
324 |
219 |
$3.66 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
377 |
371 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
135 |
77 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
64 |
40 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
308 |
229 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
13 |
13 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
168 |
159 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
34 |
32 |
$0.00 |
| 90658 |
|
56 |
56 |
$0.00 |
| 90700 |
|
65 |
59 |
$0.00 |
| 3078F |
|
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
378 |
373 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
48 |
44 |
$0.00 |
| 1170F |
|
28 |
28 |
$0.00 |
| 3074F |
|
28 |
28 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
13 |
13 |
$0.00 |
| 1111F |
|
99 |
98 |
$0.00 |