| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
8,253 |
7,233 |
$825K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,624 |
6,893 |
$11K |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
446 |
420 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,495 |
2,294 |
$4K |
| 90686 |
|
102 |
102 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
366 |
353 |
$643.88 |
| 81002 |
|
13 |
12 |
$6.65 |
| 85018 |
|
42 |
42 |
$6.21 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |