| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
71,603 |
62,114 |
$16.88M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,651 |
16,115 |
$955K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,091 |
18,362 |
$873K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,950 |
2,923 |
$195K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,146 |
3,246 |
$113K |
| 99215 |
Prolong outpt/office vis |
1,436 |
1,279 |
$90K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
854 |
840 |
$70K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
918 |
857 |
$69K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
630 |
570 |
$60K |
| 90837 |
Psychotherapy, 53 minutes with patient |
577 |
454 |
$56K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
431 |
426 |
$43K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
141 |
140 |
$12K |
| 90686 |
|
1,201 |
1,183 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
178 |
177 |
$8K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
138 |
120 |
$8K |
| 17110 |
|
39 |
37 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
348 |
333 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
171 |
165 |
$2K |
| 31231 |
|
16 |
14 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
330 |
179 |
$2K |
| 90670 |
|
277 |
275 |
$1K |
| 99205 |
Prolong outpt/office vis |
16 |
15 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
505 |
236 |
$1K |
| 11104 |
|
15 |
15 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 95117 |
|
126 |
64 |
$909.66 |
| 90461 |
|
143 |
119 |
$869.40 |
| 11102 |
|
12 |
12 |
$613.32 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12 |
12 |
$589.06 |
| 96127 |
|
319 |
310 |
$574.95 |
| 81025 |
|
118 |
113 |
$572.88 |
| 90697 |
|
109 |
108 |
$564.64 |
| 98927 |
|
20 |
12 |
$550.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
28 |
$430.64 |
| 99442 |
|
13 |
12 |
$415.24 |
| 90688 |
|
50 |
49 |
$382.10 |
| 90677 |
|
86 |
85 |
$331.38 |
| 99174 |
|
218 |
214 |
$256.54 |
| 90680 |
|
52 |
52 |
$199.74 |
| 96161 |
|
203 |
191 |
$178.80 |
| 90672 |
|
14 |
14 |
$144.34 |
| 90633 |
|
28 |
28 |
$139.99 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
251 |
165 |
$138.37 |
| 99177 |
|
38 |
38 |
$109.86 |
| 90648 |
|
15 |
15 |
$88.44 |
| 90656 |
|
31 |
31 |
$83.54 |
| 90619 |
|
12 |
12 |
$44.00 |
| 81002 |
|
19 |
15 |
$38.28 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
14 |
$34.70 |
| 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) |
568 |
540 |
$25.60 |
| 92504 |
|
18 |
16 |
$22.43 |
| 96160 |
|
12 |
12 |
$3.42 |
| 99335 |
|
13 |
13 |
$0.00 |