| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,218 |
6,121 |
$810K |
| 99173 |
|
154 |
153 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
260 |
246 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
148 |
147 |
$0.00 |
| 90655 |
|
15 |
15 |
$0.00 |
| 90461 |
|
16 |
16 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
56 |
55 |
$0.00 |
| 90658 |
|
12 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
283 |
281 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
890 |
776 |
$0.00 |
| 92551 |
|
155 |
154 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
525 |
486 |
$0.00 |
| 85018 |
|
53 |
53 |
$0.00 |
| 90656 |
|
68 |
68 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
14 |
12 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |
| 90688 |
|
15 |
15 |
$0.00 |