| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
24,093 |
20,409 |
$5.84M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,616 |
7,748 |
$608K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,517 |
4,965 |
$323K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,443 |
1,302 |
$53K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
454 |
395 |
$36K |
| 90837 |
Psychotherapy, 53 minutes with patient |
276 |
146 |
$28K |
| 90832 |
Psychotherapy, 30 minutes with patient |
537 |
415 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
238 |
232 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
256 |
248 |
$18K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
147 |
137 |
$7K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
49 |
43 |
$5K |
| 97597 |
|
59 |
24 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,350 |
1,215 |
$2K |
| 76830 |
Ultrasound, transvaginal |
31 |
15 |
$879.29 |
| 90686 |
|
71 |
67 |
$714.98 |
| 90670 |
|
39 |
39 |
$155.76 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$127.20 |
| 96127 |
|
27 |
26 |
$22.80 |
| 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) |
150 |
143 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
14 |
13 |
$0.00 |