| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,412 |
7,321 |
$660K |
| T1015 |
Clinic visit/encounter, all-inclusive |
17,670 |
7,465 |
$521K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,259 |
4,921 |
$243K |
| 99215 |
Prolong outpt/office vis |
2,157 |
1,249 |
$184K |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,291 |
1,962 |
$171K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
4,593 |
3,305 |
$99K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,914 |
1,403 |
$94K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
1,102 |
632 |
$52K |
| 90791 |
Psychiatric diagnostic evaluation |
81 |
67 |
$6K |
| 90686 |
|
198 |
113 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
313 |
234 |
$1K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
14 |
12 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
177 |
151 |
$974.66 |
| 80305 |
|
83 |
54 |
$899.85 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
14 |
$580.46 |
| 81003 |
|
197 |
124 |
$329.37 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
70 |
41 |
$292.88 |
| 81002 |
|
100 |
65 |
$225.18 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
440 |
201 |
$0.00 |
| 93000 |
|
50 |
46 |
$0.00 |