| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,062 |
788 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
523 |
379 |
$37K |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,166 |
940 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
92 |
86 |
$4K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
100 |
54 |
$849.12 |
| 36415 |
Collection of venous blood by venipuncture |
195 |
169 |
$365.32 |
| 80061 |
Lipid panel |
50 |
39 |
$289.99 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
23 |
13 |
$244.27 |
| 87430 |
|
19 |
12 |
$102.00 |