| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
35,475 |
24,168 |
$2.57M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,639 |
14,907 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,665 |
2,845 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,473 |
1,155 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,580 |
1,173 |
$684.76 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
565 |
344 |
$578.79 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
284 |
224 |
$169.24 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
620 |
496 |
$153.68 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
288 |
231 |
$47.10 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
182 |
135 |
$31.30 |
| 90670 |
|
677 |
480 |
$12.80 |
| 90633 |
|
116 |
83 |
$6.40 |
| 90710 |
|
93 |
66 |
$6.40 |
| 90698 |
|
230 |
178 |
$6.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,841 |
2,154 |
$6.40 |
| 90686 |
|
470 |
337 |
$6.40 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
25 |
12 |
$1.84 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
107 |
107 |
$0.00 |
| 99307 |
|
621 |
473 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,301 |
803 |
$0.00 |
| 90734 |
|
38 |
36 |
$0.00 |
| 90715 |
|
52 |
48 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
60 |
58 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
126 |
123 |
$0.00 |
| 81002 |
|
20 |
12 |
$0.00 |
| 90474 |
|
89 |
50 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
88 |
75 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
272 |
265 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
313 |
203 |
$0.00 |
| 90680 |
|
149 |
111 |
$0.00 |
| 90744 |
|
217 |
166 |
$0.00 |
| 90696 |
|
17 |
15 |
$0.00 |