| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
3,619 |
3,111 |
$727K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
68 |
56 |
$603.19 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
753 |
690 |
$108.84 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,184 |
1,089 |
$35.00 |
| 96127 |
|
107 |
104 |
$3.00 |
| 36415 |
Collection of venous blood by venipuncture |
541 |
532 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
43 |
43 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33 |
31 |
$0.00 |
| 90686 |
|
18 |
16 |
$0.00 |
| 82948 |
|
335 |
325 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$0.00 |