| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
16,033 |
13,494 |
$1.61M |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
46 |
45 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
280 |
276 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
253 |
253 |
$924.96 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
82 |
82 |
$867.02 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,402 |
8,300 |
$600.80 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
150 |
142 |
$215.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$86.94 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,265 |
2,985 |
$70.31 |
| 3074F |
|
16 |
14 |
$20.00 |
| 90686 |
|
216 |
215 |
$19.68 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
255 |
251 |
$10.18 |
| 3075F |
|
12 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$0.00 |
| 90651 |
|
29 |
29 |
$0.00 |
| 90656 |
|
19 |
19 |
$0.00 |
| 3008F |
|
16 |
15 |
$0.00 |
| 3079F |
|
14 |
14 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
12 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
20 |
19 |
$0.00 |
| 90461 |
|
12 |
12 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
26 |
$0.00 |
| 3078F |
|
14 |
12 |
$0.00 |