| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
16,755 |
11,990 |
$891K |
| 99199 |
Unlisted special service, procedure or report |
44,763 |
31,178 |
$238K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
924 |
691 |
$83K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,662 |
1,349 |
$17K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
285 |
226 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
476 |
233 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
316 |
184 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
340 |
286 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
326 |
319 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
86 |
53 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
181 |
140 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
18 |
12 |
$1K |
| 96127 |
|
765 |
698 |
$548.64 |
| 90686 |
|
528 |
435 |
$476.14 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
15 |
$368.80 |
| 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 |
32 |
30 |
$350.80 |
| 92551 |
|
298 |
258 |
$288.28 |
| 36415 |
Collection of venous blood by venipuncture |
217 |
181 |
$254.65 |
| 99173 |
|
394 |
340 |
$219.64 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$132.79 |
| 3074F |
|
148 |
140 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |
| 1160F |
|
343 |
327 |
$0.00 |
| 3078F |
|
134 |
128 |
$0.00 |