| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
44,771 |
36,853 |
$2.15M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,143 |
20,020 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,011 |
10,667 |
$35K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
939 |
936 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
608 |
586 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
907 |
901 |
$3K |
| 90686 |
|
566 |
566 |
$3K |
| 90677 |
|
28 |
28 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
472 |
471 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
495 |
495 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,983 |
1,955 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
385 |
384 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
354 |
353 |
$1K |
| 90670 |
|
187 |
187 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
706 |
663 |
$997.49 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,633 |
1,591 |
$941.76 |
| 86328 |
|
567 |
554 |
$937.21 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
659 |
643 |
$493.56 |
| 36415 |
Collection of venous blood by venipuncture |
3,118 |
3,026 |
$476.55 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
186 |
186 |
$401.95 |
| 0011A |
|
26 |
26 |
$390.00 |
| G0008 |
Administration of influenza virus vaccine |
904 |
897 |
$340.45 |
| 0012A |
|
22 |
22 |
$315.00 |
| 99406 |
|
580 |
536 |
$292.32 |
| 81003 |
|
1,364 |
1,339 |
$146.15 |
| 90688 |
|
488 |
483 |
$142.72 |
| 99215 |
Prolong outpt/office vis |
46 |
42 |
$81.42 |
| 90715 |
|
12 |
12 |
$38.75 |
| 99000 |
|
84 |
82 |
$38.64 |
| 87807 |
|
83 |
82 |
$32.55 |
| 90698 |
|
51 |
51 |
$21.26 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,200 |
1,197 |
$10.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$9.89 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
13 |
$9.31 |
| 84703 |
|
12 |
12 |
$6.92 |
| 3008F |
|
18,029 |
15,589 |
$0.00 |
| 1220F |
|
13,177 |
11,494 |
$0.00 |
| 90744 |
|
12 |
12 |
$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 |
270 |
238 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
1,990 |
1,979 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 3016F |
|
14 |
14 |
$0.00 |