| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,920 |
1,764 |
$53K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,146 |
1,962 |
$45K |
| 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 |
62 |
$1K |
| 90686 |
|
75 |
74 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
218 |
215 |
$683.67 |
| 90688 |
|
18 |
18 |
$487.32 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
54 |
50 |
$268.04 |
| 90715 |
|
12 |
12 |
$36.31 |
| 1158F |
|
346 |
327 |
$0.00 |
| 1160F |
|
996 |
884 |
$0.00 |
| 3078F |
|
773 |
706 |
$0.00 |
| 3074F |
|
765 |
698 |
$0.00 |
| 3351F |
|
985 |
889 |
$0.00 |
| 1125F |
|
237 |
220 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
177 |
174 |
$0.00 |
| 3079F |
|
126 |
117 |
$0.00 |
| 1126F |
|
801 |
728 |
$0.00 |
| 3075F |
|
68 |
65 |
$0.00 |