| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,042 |
1,341 |
$52K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
172 |
145 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
37 |
32 |
$3K |
| T1015 |
Clinic visit/encounter, all-inclusive |
19 |
12 |
$806.76 |
| 90651 |
|
31 |
29 |
$258.12 |
| 90620 |
|
20 |
15 |
$153.84 |
| 99000 |
|
151 |
137 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
104 |
101 |
$0.00 |