| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,336 |
4,090 |
$404K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,262 |
1,062 |
$95K |
| W0037 |
|
1,957 |
1,957 |
$45K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
465 |
387 |
$29K |
| 99348 |
|
352 |
285 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
69 |
66 |
$7K |
| 90832 |
Psychotherapy, 30 minutes with patient |
58 |
24 |
$5K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
344 |
315 |
$3K |
| 99347 |
|
66 |
52 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
123 |
101 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
12 |
$1K |
| 90686 |
|
18 |
15 |
$1K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
37 |
33 |
$870.21 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
33 |
27 |
$596.13 |
| 99307 |
|
13 |
12 |
$166.32 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
85 |
74 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
19 |
12 |
$0.00 |
| 90656 |
|
14 |
12 |
$0.00 |