| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
23,826 |
21,810 |
$1.34M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,979 |
11,641 |
$534K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,939 |
8,373 |
$408K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,334 |
3,287 |
$235K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
225 |
222 |
$11K |
| 99442 |
|
199 |
185 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
193 |
189 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
52 |
52 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
323 |
291 |
$3K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
259 |
107 |
$2K |
| 86328 |
|
25 |
24 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
23 |
13 |
$1K |
| 99401 |
|
27 |
27 |
$715.26 |
| 99443 |
|
12 |
12 |
$519.33 |
| 81003 |
|
148 |
146 |
$307.25 |
| 93000 |
|
12 |
12 |
$10.52 |
| 3074F |
|
28 |
27 |
$0.00 |
| 99000 |
|
153 |
152 |
$0.00 |
| 99072 |
|
183 |
180 |
$0.00 |
| 1160F |
|
68 |
65 |
$0.00 |
| 3078F |
|
29 |
28 |
$0.00 |
| 1159F |
|
24 |
23 |
$0.00 |