| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
7,151 |
6,652 |
$1.42M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,953 |
1,841 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,108 |
1,065 |
$32K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
526 |
484 |
$24K |
| G0378 |
Hospital observation service, per hour |
968 |
904 |
$22K |
| 99215 |
Prolong outpt/office vis |
261 |
251 |
$14K |
| 90686 |
|
42 |
42 |
$968.67 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
55 |
51 |
$779.63 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
14 |
12 |
$683.37 |
| 96127 |
|
18 |
17 |
$426.44 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$97.54 |