| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,543 |
6,074 |
$189K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
763 |
741 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
935 |
872 |
$20K |
| 90686 |
|
445 |
437 |
$10K |
| 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 |
214 |
199 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
514 |
513 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
627 |
619 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
45 |
45 |
$1K |
| 90715 |
|
38 |
37 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
16 |
$1K |
| 82962 |
|
567 |
542 |
$945.56 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$818.05 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
28 |
26 |
$412.56 |
| 81002 |
|
28 |
25 |
$47.67 |
| 3078F |
|
1,136 |
1,063 |
$0.00 |
| 3077F |
|
322 |
296 |
$0.00 |
| 1159F |
|
63 |
59 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16 |
14 |
$0.00 |
| 1160F |
|
58 |
55 |
$0.00 |
| 3074F |
|
671 |
629 |
$0.00 |
| 3075F |
|
40 |
40 |
$0.00 |
| 3079F |
|
132 |
127 |
$0.00 |
| 1125F |
|
14 |
14 |
$0.00 |
| 3351F |
|
501 |
444 |
$0.00 |
| 1126F |
|
265 |
232 |
$0.00 |
| 3044F |
|
55 |
53 |
$0.00 |