| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
70,995 |
64,384 |
$20.65M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31,274 |
29,108 |
$1.71M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,653 |
27,430 |
$1.41M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,501 |
2,455 |
$238K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,506 |
2,440 |
$232K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,505 |
1,449 |
$124K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,048 |
1,034 |
$106K |
| 90686 |
|
3,002 |
2,953 |
$44K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
496 |
443 |
$40K |
| 90837 |
Psychotherapy, 53 minutes with patient |
316 |
264 |
$32K |
| 92552 |
|
1,616 |
1,565 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
661 |
627 |
$19K |
| 90670 |
|
1,185 |
1,142 |
$17K |
| 99215 |
Prolong outpt/office vis |
295 |
279 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
225 |
219 |
$16K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
203 |
201 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
199 |
186 |
$15K |
| 90688 |
|
1,274 |
1,241 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,521 |
5,304 |
$14K |
| 90756 |
|
481 |
474 |
$14K |
| 90651 |
|
612 |
601 |
$8K |
| 90791 |
Psychiatric diagnostic evaluation |
73 |
73 |
$8K |
| 90633 |
|
656 |
638 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
330 |
290 |
$7K |
| D1208 |
Topical application of fluoride, excluding varnish |
340 |
304 |
$6K |
| D9999 |
Unspecified adjunctive procedure, by report |
328 |
288 |
$6K |
| 90834 |
Psychotherapy, 45 minutes with patient |
70 |
51 |
$5K |
| 90680 |
|
290 |
279 |
$3K |
| 90648 |
|
300 |
287 |
$3K |
| 99383 |
|
28 |
26 |
$3K |
| 90619 |
|
118 |
117 |
$2K |
| 98925 |
|
125 |
102 |
$2K |
| 90734 |
|
215 |
209 |
$2K |
| 90715 |
|
129 |
126 |
$2K |
| 90710 |
|
130 |
130 |
$2K |
| 90732 |
|
13 |
13 |
$1K |
| 90723 |
|
121 |
115 |
$1K |
| 99429 |
|
44 |
44 |
$1K |
| 90696 |
|
91 |
90 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,068 |
1,977 |
$1K |
| 90697 |
|
58 |
58 |
$998.80 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
17 |
$794.99 |
| 90698 |
|
72 |
69 |
$788.07 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
12 |
$665.02 |
| 99499 |
|
44 |
44 |
$636.30 |
| 99188 |
|
48 |
48 |
$631.99 |
| 90677 |
|
28 |
28 |
$557.41 |
| 90620 |
|
26 |
25 |
$390.18 |
| Q3014 |
Telehealth originating site facility fee |
13 |
13 |
$320.19 |
| 90685 |
|
27 |
25 |
$223.49 |
| 90474 |
|
183 |
175 |
$189.25 |
| 90700 |
|
12 |
12 |
$114.96 |
| 90687 |
|
16 |
16 |
$103.87 |
| 92558 |
|
15 |
14 |
$35.58 |
| 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) |
293 |
286 |
$0.00 |