| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
27,619 |
22,570 |
$3.94M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,071 |
9,103 |
$141K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,975 |
10,517 |
$76K |
| 99215 |
Prolong outpt/office vis |
433 |
413 |
$7K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,386 |
754 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,525 |
1,452 |
$6K |
| 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 |
75 |
71 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,868 |
1,852 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,231 |
3,188 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
109 |
94 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
832 |
823 |
$3K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
47 |
45 |
$2K |
| 98927 |
|
194 |
175 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
19 |
19 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
602 |
551 |
$2K |
| 81002 |
|
1,182 |
1,061 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
427 |
394 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,553 |
1,540 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
449 |
447 |
$779.61 |
| 36415 |
Collection of venous blood by venipuncture |
481 |
445 |
$35.41 |
| 90686 |
|
239 |
238 |
$20.22 |
| 90670 |
|
228 |
226 |
$0.04 |
| 90633 |
|
57 |
55 |
$0.00 |
| 99442 |
|
19 |
18 |
$0.00 |
| 90744 |
|
17 |
14 |
$0.00 |
| 90698 |
|
70 |
70 |
$0.00 |
| 90674 |
|
13 |
13 |
$0.00 |
| 90656 |
|
23 |
23 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 90474 |
|
12 |
12 |
$0.00 |