| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,035 |
6,015 |
$464K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
741 |
641 |
$61K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,147 |
2,010 |
$57K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
465 |
443 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
198 |
172 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
64 |
59 |
$5K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
268 |
251 |
$5K |
| 96127 |
|
75 |
66 |
$1K |
| 81003 |
|
26 |
12 |
$1K |
| 87449 |
|
12 |
12 |
$1K |
| 95115 |
|
29 |
12 |
$504.00 |