| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,761 |
3,324 |
$189K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,385 |
2,157 |
$161K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
728 |
437 |
$16K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
91 |
72 |
$3K |
| 3074F |
|
1,207 |
1,107 |
$2K |
| 3078F |
|
966 |
879 |
$1K |
| 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 |
47 |
43 |
$274.23 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
29 |
15 |
$228.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
27 |
$205.45 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$167.09 |
| 90686 |
|
12 |
12 |
$158.10 |
| 3079F |
|
179 |
166 |
$150.00 |
| 3077F |
|
40 |
38 |
$0.00 |
| 3075F |
|
24 |
24 |
$0.00 |