| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
35,597 |
24,623 |
$3.11M |
| 3074F |
|
8,537 |
6,416 |
$2K |
| 99499 |
|
273 |
160 |
$1K |
| 3079F |
|
5,774 |
4,635 |
$1K |
| 3078F |
|
4,155 |
3,295 |
$885.00 |
| 3080F |
|
4,973 |
4,036 |
$690.00 |
| 3077F |
|
3,604 |
3,025 |
$415.00 |
| 3075F |
|
2,642 |
2,221 |
$390.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,553 |
21,136 |
$133.48 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,048 |
5,965 |
$50.41 |
| 3044F |
|
290 |
262 |
$40.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,537 |
837 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
327 |
241 |
$0.00 |
| 0011A |
|
21 |
21 |
$0.00 |
| 00000 |
|
17 |
15 |
$0.00 |
| 81003 |
|
171 |
117 |
$0.00 |
| H2020 |
Therapeutic behavioral services, per diem |
49 |
47 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
17 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
67 |
55 |
$0.00 |