| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
41,126 |
34,494 |
$3.79M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,575 |
11,317 |
$201K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,949 |
13,617 |
$117K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,228 |
1,163 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
619 |
599 |
$20K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
4,173 |
3,355 |
$17K |
| 90461 |
|
357 |
337 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
174 |
153 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
313 |
305 |
$5K |
| 11721 |
|
2,440 |
2,398 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
76 |
67 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
127 |
123 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
36 |
34 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
74 |
68 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34 |
34 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
68 |
64 |
$2K |
| 99406 |
|
28 |
26 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
192 |
186 |
$1K |
| 90715 |
|
14 |
14 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
22 |
22 |
$1K |
| 81003 |
|
27 |
26 |
$562.18 |
| 99215 |
Prolong outpt/office vis |
31 |
27 |
$152.99 |
| 36415 |
Collection of venous blood by venipuncture |
18 |
16 |
$30.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
52 |
49 |
$0.00 |
| 3074F |
|
26 |
25 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 90686 |
|
33 |
29 |
$0.00 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
1,144 |
1,086 |
$0.00 |
| 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 |
296 |
269 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
583 |
524 |
$0.00 |
| 11056 |
|
12 |
12 |
$0.00 |
| 3078F |
|
13 |
13 |
$0.00 |
| 90670 |
|
13 |
12 |
$0.00 |