| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
600 |
562 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
408 |
385 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
55 |
47 |
$2K |
| 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 |
88 |
82 |
$2K |
| 90686 |
|
39 |
37 |
$766.86 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
22 |
22 |
$652.32 |
| 90688 |
|
17 |
17 |
$379.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
49 |
47 |
$144.01 |
| 3078F |
|
48 |
46 |
$0.00 |
| 1160F |
|
98 |
92 |
$0.00 |
| 1158F |
|
26 |
26 |
$0.00 |
| 1126F |
|
66 |
62 |
$0.00 |
| 3351F |
|
100 |
95 |
$0.00 |
| 3074F |
|
54 |
53 |
$0.00 |