| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,419 |
6,400 |
$620K |
| 80305 |
|
12,004 |
4,696 |
$105K |
| 99215 |
Prolong outpt/office vis |
1,645 |
638 |
$68K |
| 99205 |
Prolong outpt/office vis |
277 |
244 |
$32K |
| 81025 |
|
585 |
523 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
127 |
104 |
$4K |
| 99406 |
|
422 |
376 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
33 |
31 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
107 |
41 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
138 |
110 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
13 |
$897.69 |
| 99304 |
|
14 |
14 |
$722.52 |
| 36415 |
Collection of venous blood by venipuncture |
186 |
172 |
$268.49 |
| H0049 |
Alcohol and/or drug screening |
14 |
14 |
$168.42 |
| 99409 |
|
27 |
26 |
$114.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
147 |
121 |
$67.50 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
106 |
89 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
15 |
13 |
$0.00 |