| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
55,961 |
49,859 |
$5.77M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,616 |
10,850 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,449 |
14,000 |
$4K |
| 99215 |
Prolong outpt/office vis |
1,006 |
978 |
$3K |
| 99205 |
Prolong outpt/office vis |
343 |
337 |
$978.27 |
| 36415 |
Collection of venous blood by venipuncture |
849 |
833 |
$938.23 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
246 |
230 |
$471.51 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
121 |
119 |
$335.12 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
228 |
226 |
$182.44 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
193 |
191 |
$146.89 |
| 36416 |
|
408 |
405 |
$132.90 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,805 |
1,796 |
$68.96 |
| 81025 |
|
185 |
184 |
$49.23 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,683 |
2,647 |
$45.77 |
| 83655 |
|
290 |
290 |
$44.31 |
| Q3014 |
Telehealth originating site facility fee |
92 |
72 |
$42.64 |
| 90461 |
|
2,030 |
2,020 |
$20.95 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
494 |
491 |
$9.46 |
| 90670 |
|
987 |
983 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
161 |
157 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,008 |
1,800 |
$0.00 |
| 83037 |
|
55 |
55 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
64 |
64 |
$0.00 |
| 90633 |
|
141 |
141 |
$0.00 |
| 90681 |
|
39 |
39 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
36 |
25 |
$0.00 |
| 90698 |
|
610 |
608 |
$0.00 |
| 96127 |
|
1,021 |
978 |
$0.00 |
| 90697 |
|
329 |
328 |
$0.00 |
| 90686 |
|
13 |
13 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
25 |
24 |
$0.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
28 |
27 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
103 |
101 |
$0.00 |
| 99000 |
|
102 |
96 |
$0.00 |
| 90680 |
|
67 |
67 |
$0.00 |
| 90744 |
|
62 |
62 |
$0.00 |
| 90677 |
|
31 |
31 |
$0.00 |
| 99417 |
Prolong home eval add 15m |
34 |
31 |
$0.00 |