| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
31,929 |
23,165 |
$7.16M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,716 |
14,710 |
$107.06 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,375 |
2,491 |
$70.48 |
| 87430 |
|
6,009 |
4,309 |
$17.15 |
| 87420 |
|
732 |
478 |
$15.19 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,129 |
717 |
$7.49 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,113 |
2,345 |
$5.89 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,598 |
2,196 |
$3.25 |
| 90461 |
|
2,335 |
1,694 |
$0.00 |
| 81003 |
|
1,061 |
726 |
$0.00 |
| 99173 |
|
1,404 |
1,022 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,202 |
3,179 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,037 |
930 |
$0.00 |
| 90734 |
|
46 |
39 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
772 |
660 |
$0.00 |
| 81002 |
|
66 |
51 |
$0.00 |
| 90633 |
|
16 |
14 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
153 |
124 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
95 |
64 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
93 |
76 |
$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 |
53 |
40 |
$0.00 |
| 90715 |
|
16 |
13 |
$0.00 |
| 83655 |
|
19 |
12 |
$0.00 |
| 92551 |
|
1,110 |
867 |
$0.00 |
| 85018 |
|
2,013 |
1,416 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
217 |
181 |
$0.00 |
| 87428 |
|
416 |
336 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
38 |
36 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
14 |
13 |
$0.00 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
75 |
65 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
26 |
14 |
$0.00 |
| 90680 |
|
31 |
24 |
$0.00 |
| 86308 |
|
28 |
28 |
$0.00 |