| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,035 |
1,765 |
$125K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
453 |
386 |
$38K |
| 99442 |
|
209 |
187 |
$11K |
| 96156 |
|
148 |
144 |
$10K |
| 96158 |
|
202 |
175 |
$9K |
| 99441 |
|
55 |
52 |
$3K |
| 99385 |
|
15 |
15 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
98 |
96 |
$1K |
| 98968 |
|
17 |
16 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$854.49 |
| 80305 |
|
48 |
34 |
$335.16 |
| 96160 |
|
119 |
118 |
$280.74 |
| 36415 |
Collection of venous blood by venipuncture |
46 |
42 |
$69.57 |
| 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 |
104 |
82 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
27 |
12 |
$0.00 |