| Code | Description | Claims | Beneficiaries | Total Paid |
| 99199 |
Unlisted special service, procedure or report |
31,515 |
23,491 |
$211K |
| T1015 |
Clinic visit/encounter, all-inclusive |
3,486 |
2,989 |
$196K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,344 |
2,862 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
751 |
690 |
$16K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
79 |
71 |
$170.83 |
| 36415 |
Collection of venous blood by venipuncture |
270 |
234 |
$80.26 |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
124 |
112 |
$61.44 |
| 96127 |
|
14 |
12 |
$17.00 |
| 91301 |
|
29 |
27 |
$0.00 |
| 1000F |
|
68 |
55 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
121 |
118 |
$0.00 |
| G3014 |
|
29 |
26 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |