| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,042 |
2,491 |
$209K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,952 |
1,527 |
$98K |
| T1015 |
Clinic visit/encounter, all-inclusive |
7,071 |
5,519 |
$71K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,533 |
1,848 |
$40K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,076 |
683 |
$12K |
| 99310 |
Prolong nursin fac eval 15m |
103 |
66 |
$2K |
| 99307 |
|
104 |
97 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
199 |
185 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
399 |
211 |
$498.70 |
| 90686 |
|
16 |
14 |
$131.68 |
| 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) |
69 |
57 |
$0.02 |
| M1207 |
Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety |
12 |
12 |
$0.00 |