| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,107 |
10,395 |
$2.36M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,743 |
5,406 |
$133K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,742 |
5,126 |
$73K |
| 98928 |
|
1,545 |
1,481 |
$34K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
224 |
206 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
27 |
26 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
216 |
203 |
$258.01 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
413 |
354 |
$130.22 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,496 |
1,437 |
$110.36 |
| 90715 |
|
25 |
25 |
$81.30 |
| 90686 |
|
217 |
215 |
$12.02 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
27 |
26 |
$11.76 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
388 |
368 |
$8.83 |
| 99442 |
|
56 |
54 |
$6.28 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
145 |
144 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
13 |
$0.00 |
| 90734 |
|
15 |
15 |
$0.00 |
| 90651 |
|
28 |
28 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
16 |
16 |
$0.00 |
| 90656 |
|
30 |
30 |
$0.00 |