| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
20,304 |
17,856 |
$6.01M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,439 |
4,041 |
$1.03M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,740 |
3,297 |
$840K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,875 |
2,628 |
$677K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,532 |
1,343 |
$342K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,561 |
5,989 |
$208K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,590 |
8,735 |
$127K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,390 |
2,255 |
$119K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
7,051 |
5,623 |
$39K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
445 |
420 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,230 |
1,153 |
$18K |
| 90688 |
|
1,817 |
1,639 |
$14K |
| 99381 |
|
84 |
80 |
$13K |
| Q3014 |
Telehealth originating site facility fee |
938 |
867 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
237 |
236 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
764 |
351 |
$8K |
| 90657 |
|
293 |
282 |
$7K |
| 90658 |
|
360 |
337 |
$6K |
| 99460 |
|
155 |
138 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
154 |
137 |
$6K |
| 90633 |
|
1,655 |
1,497 |
$6K |
| 90687 |
|
499 |
417 |
$5K |
| 90700 |
|
542 |
464 |
$3K |
| 99463 |
|
30 |
30 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
97 |
92 |
$3K |
| 99442 |
|
133 |
132 |
$3K |
| 99443 |
|
105 |
102 |
$2K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
21 |
14 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
17 |
15 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
40 |
$826.73 |
| 90723 |
|
455 |
385 |
$728.80 |
| 90474 |
|
1,135 |
1,032 |
$543.58 |
| 99221 |
|
16 |
14 |
$514.42 |
| 51798 |
|
226 |
223 |
$504.87 |
| 90681 |
|
1,177 |
1,064 |
$217.90 |
| 93000 |
|
76 |
75 |
$156.45 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
108 |
108 |
$141.83 |
| 99441 |
|
26 |
26 |
$99.42 |
| 11721 |
|
269 |
269 |
$55.87 |
| 81003 |
|
15 |
15 |
$13.23 |
| 90697 |
|
831 |
783 |
$0.12 |
| 90677 |
|
707 |
702 |
$0.00 |
| 90716 |
|
442 |
404 |
$0.00 |
| 90696 |
|
533 |
481 |
$0.00 |
| 90698 |
|
337 |
302 |
$0.00 |
| 90651 |
|
261 |
236 |
$0.00 |
| 90656 |
|
193 |
193 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
32 |
32 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
85 |
85 |
$0.00 |
| 90381 |
|
16 |
16 |
$0.00 |
| 90707 |
|
448 |
409 |
$0.00 |
| 90710 |
|
549 |
499 |
$0.00 |
| 90648 |
|
1,248 |
1,083 |
$0.00 |
| 90715 |
|
274 |
229 |
$0.00 |
| 90670 |
|
2,695 |
2,377 |
$0.00 |
| 90734 |
|
693 |
603 |
$0.00 |
| 90380 |
|
12 |
12 |
$0.00 |
| 96160 |
|
169 |
169 |
$0.00 |
| 99307 |
|
32 |
32 |
$0.00 |
| 90662 |
|
14 |
14 |
$0.00 |
| 90621 |
|
82 |
75 |
$0.00 |