| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,321 |
4,518 |
$482K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,738 |
2,527 |
$245.61 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
35 |
14 |
$2.63 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
990 |
816 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
327 |
147 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
319 |
266 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
115 |
89 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
97 |
73 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
69 |
50 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
434 |
275 |
$0.00 |
| 81003 |
|
137 |
93 |
$0.00 |
| 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 |
38 |
24 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
54 |
47 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
107 |
56 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
52 |
37 |
$0.00 |