| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
644 |
612 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
481 |
424 |
$14K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
1,564 |
1,397 |
$2K |
| 99384 |
|
13 |
13 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
185 |
182 |
$475.20 |
| 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 |
20 |
17 |
$65.30 |
| 92551 |
|
19 |
19 |
$0.00 |
| 85018 |
|
21 |
21 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
13 |
$0.00 |
| 99173 |
|
19 |
19 |
$0.00 |
| 96160 |
|
15 |
15 |
$0.00 |