| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,370 |
16,116 |
$569K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
580 |
435 |
$22K |
| 90832 |
Psychotherapy, 30 minutes with patient |
553 |
320 |
$21K |
| 90834 |
Psychotherapy, 45 minutes with patient |
299 |
188 |
$15K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
133 |
120 |
$9K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
472 |
391 |
$6K |
| 90791 |
Psychiatric diagnostic evaluation |
72 |
62 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
116 |
97 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
24 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
42 |
38 |
$1K |
| 96127 |
|
90 |
85 |
$219.10 |
| 1159F |
|
3,427 |
2,602 |
$0.00 |
| 1160F |
|
3,284 |
2,502 |
$0.00 |
| 3078F |
|
389 |
364 |
$0.00 |
| 3077F |
|
26 |
24 |
$0.00 |
| 3074F |
|
1,578 |
1,376 |
$0.00 |
| 3079F |
|
1,316 |
1,147 |
$0.00 |
| 1126F |
|
287 |
264 |
$0.00 |
| 3075F |
|
76 |
70 |
$0.00 |
| 1125F |
|
155 |
144 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
14 |
$0.00 |
| 3080F |
|
16 |
15 |
$0.00 |