| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
8,630 |
7,129 |
$1.17M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,910 |
3,558 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,792 |
3,410 |
$35K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
87 |
65 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
206 |
177 |
$3K |
| 99215 |
Prolong outpt/office vis |
58 |
51 |
$716.02 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
128 |
118 |
$85.05 |
| 81002 |
|
63 |
62 |
$0.90 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
50 |
41 |
$0.01 |
| 99442 |
|
32 |
28 |
$0.00 |