| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,621 |
2,371 |
$95K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,881 |
1,997 |
$81K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,175 |
715 |
$31K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,007 |
678 |
$17K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
396 |
262 |
$11K |
| T1015 |
Clinic visit/encounter, all-inclusive |
91 |
58 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
19 |
13 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
21 |
12 |
$561.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
887 |
687 |
$71.87 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
15 |
13 |
$69.57 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
35 |
27 |
$65.72 |
| 81002 |
|
12 |
12 |
$3.48 |
| 94760 |
|
726 |
460 |
$1.17 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
16 |
12 |
$0.00 |