| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,476 |
2,339 |
$67K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
246 |
240 |
$10K |
| 90686 |
|
175 |
170 |
$4K |
| 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 |
74 |
71 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
337 |
334 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
39 |
34 |
$863.40 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
12 |
$407.64 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
204 |
201 |
$50.00 |
| 3351F |
|
539 |
507 |
$0.00 |
| 3074F |
|
331 |
320 |
$0.00 |
| 1126F |
|
358 |
347 |
$0.00 |
| 1125F |
|
28 |
26 |
$0.00 |
| 3079F |
|
15 |
13 |
$0.00 |
| 3078F |
|
350 |
338 |
$0.00 |
| 1158F |
|
276 |
268 |
$0.00 |
| 1160F |
|
24 |
24 |
$0.00 |