| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,378 |
20,556 |
$1.15M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,619 |
10,272 |
$793K |
| T1015 |
Clinic visit/encounter, all-inclusive |
23,506 |
20,019 |
$145K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,072 |
2,538 |
$87K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
762 |
640 |
$39K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,013 |
689 |
$31K |
| 99215 |
Prolong outpt/office vis |
236 |
167 |
$17K |
| 99441 |
|
648 |
232 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$2K |
| 99201 |
|
66 |
27 |
$672.42 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
47 |
32 |
$233.70 |
| 99406 |
|
19 |
12 |
$195.52 |
| 96127 |
|
56 |
49 |
$185.67 |
| 90686 |
|
28 |
13 |
$92.76 |
| 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 |
64 |
31 |
$48.02 |
| 90688 |
|
17 |
17 |
$31.58 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
37 |
32 |
$0.00 |