| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,752 |
10,432 |
$2.31M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
293 |
287 |
$54K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
246 |
230 |
$43K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,084 |
1,034 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
93 |
89 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$5K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
53 |
52 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$497.36 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,585 |
668 |
$54.88 |
| 90461 |
|
291 |
260 |
$0.00 |
| 90670 |
|
70 |
67 |
$0.00 |
| 90698 |
|
53 |
52 |
$0.00 |
| 90686 |
|
13 |
13 |
$0.00 |