| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,908 |
9,992 |
$389K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,038 |
1,036 |
$75K |
| 97811 |
|
1,898 |
1,236 |
$28K |
| 97810 |
|
1,907 |
1,240 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
273 |
236 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
483 |
429 |
$11K |
| 97814 |
|
162 |
130 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
88 |
67 |
$1K |
| 97813 |
|
166 |
132 |
$1K |
| 90688 |
|
49 |
49 |
$346.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
65 |
65 |
$272.06 |