| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,713 |
5,655 |
$401K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,936 |
3,314 |
$262K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
107 |
87 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
51 |
44 |
$5K |
| 99348 |
|
43 |
36 |
$1K |
| 99201 |
|
21 |
15 |
$741.55 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
13 |
$563.65 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
251 |
202 |
$443.60 |
| Q3014 |
Telehealth originating site facility fee |
39 |
18 |
$441.82 |
| 99347 |
|
12 |
12 |
$181.90 |
| 3078F |
|
566 |
494 |
$75.00 |
| 3074F |
|
721 |
619 |
$75.00 |
| 3079F |
|
427 |
360 |
$50.00 |
| 90658 |
|
34 |
29 |
$34.11 |
| 3044F |
|
336 |
290 |
$20.00 |
| 36415 |
Collection of venous blood by venipuncture |
30 |
27 |
$5.85 |
| 3008F |
|
1,821 |
1,626 |
$0.44 |
| 90674 |
|
33 |
31 |
$0.10 |
| 90686 |
|
14 |
14 |
$0.04 |
| 91301 |
|
18 |
13 |
$0.02 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
644 |
622 |
$0.00 |
| 1159F |
|
2,006 |
1,726 |
$0.00 |
| 3050F |
|
272 |
237 |
$0.00 |
| 81002 |
|
123 |
105 |
$0.00 |
| 0521F |
|
388 |
360 |
$0.00 |
| M1016 |
Female patients unable to bear children |
18 |
12 |
$0.00 |
| 3077F |
|
69 |
62 |
$0.00 |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
13 |
13 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
18 |
17 |
$0.00 |
| 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 |
3,134 |
2,659 |
$0.00 |
| 1125F |
|
418 |
356 |
$0.00 |
| 1126F |
|
584 |
497 |
$0.00 |
| 2001F |
|
1,724 |
1,546 |
$0.00 |
| 2000F |
|
1,730 |
1,552 |
$0.00 |
| 3075F |
|
16 |
13 |
$0.00 |
| 2010F |
|
388 |
360 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
99 |
89 |
$0.00 |
| 82962 |
|
29 |
28 |
$0.00 |