| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
27,267 |
21,703 |
$3.20M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,105 |
996 |
$124K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,682 |
1,644 |
$63K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
512 |
501 |
$60K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,375 |
1,187 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
165 |
155 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
172 |
157 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
433 |
396 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
447 |
395 |
$5K |
| 99307 |
|
1,336 |
1,330 |
$3K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
41 |
34 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,869 |
1,815 |
$559.67 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,287 |
1,254 |
$199.78 |
| 90723 |
|
123 |
121 |
$0.00 |
| 90680 |
|
79 |
79 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
76 |
70 |
$0.00 |
| 90697 |
|
73 |
71 |
$0.00 |
| 90686 |
|
49 |
44 |
$0.00 |
| 90677 |
|
56 |
55 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90648 |
|
378 |
375 |
$0.00 |
| 90670 |
|
548 |
540 |
$0.00 |
| 90734 |
|
27 |
26 |
$0.00 |
| 90633 |
|
92 |
92 |
$0.00 |
| 90715 |
|
25 |
24 |
$0.00 |
| 90710 |
|
18 |
18 |
$0.00 |