| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,998 |
5,391 |
$181K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,276 |
2,659 |
$119K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,144 |
2,503 |
$72K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
36 |
28 |
$856.16 |
| 90686 |
|
43 |
28 |
$342.54 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
34 |
13 |
$330.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
15 |
13 |
$239.33 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
13 |
$154.80 |
| 99406 |
|
24 |
13 |
$118.98 |
| 99318 |
|
15 |
14 |
$85.20 |
| 1036F |
|
31 |
28 |
$0.00 |
| 1125F |
|
17 |
14 |
$0.00 |
| 3008F |
|
79 |
68 |
$0.00 |