| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
16,713 |
12,918 |
$2.84M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,582 |
7,912 |
$110K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,421 |
5,433 |
$38K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,800 |
1,709 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
74 |
65 |
$3K |
| 99215 |
Prolong outpt/office vis |
308 |
229 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
38 |
38 |
$929.57 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
275 |
231 |
$619.89 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
19 |
15 |
$298.34 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
18 |
$298.07 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
263 |
256 |
$245.33 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
511 |
503 |
$25.47 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
55 |
51 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 90658 |
|
155 |
152 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
112 |
108 |
$0.00 |
| 90686 |
|
62 |
53 |
$0.00 |