| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,145 |
4,494 |
$379K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,964 |
5,908 |
$343K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,809 |
1,399 |
$181K |
| 99199 |
Unlisted special service, procedure or report |
28,835 |
18,366 |
$170K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
902 |
778 |
$68K |
| 99051 |
|
3,639 |
2,860 |
$67K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
697 |
450 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,191 |
737 |
$10K |
| 80305 |
|
1,089 |
804 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
799 |
338 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
669 |
552 |
$7K |
| 81025 |
|
1,205 |
798 |
$5K |
| 81002 |
|
2,760 |
1,979 |
$4K |
| 99401 |
|
885 |
668 |
$4K |
| 96160 |
|
1,702 |
1,255 |
$4K |
| 99406 |
|
456 |
308 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
170 |
136 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
33 |
27 |
$3K |
| 93000 |
|
236 |
183 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
211 |
165 |
$1K |
| 94010 |
|
140 |
84 |
$1K |
| 82962 |
|
756 |
542 |
$919.66 |
| 90674 |
|
122 |
98 |
$906.52 |
| 87905 |
|
37 |
30 |
$403.00 |
| 90756 |
|
23 |
16 |
$275.60 |
| 87808 |
|
17 |
15 |
$141.30 |
| 3008F |
|
5,288 |
3,807 |
$0.00 |
| 1034F |
|
468 |
296 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
831 |
610 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
746 |
558 |
$0.00 |
| 3075F |
|
1,084 |
843 |
$0.00 |
| 3074F |
|
4,427 |
3,232 |
$0.00 |
| 3080F |
|
1,054 |
804 |
$0.00 |
| 3079F |
|
1,797 |
1,400 |
$0.00 |
| 1036F |
|
536 |
361 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
20 |
12 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
100 |
71 |
$0.00 |
| 3078F |
|
4,064 |
2,964 |
$0.00 |
| 3077F |
|
1,454 |
1,086 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
3,460 |
2,475 |
$0.00 |
| 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 |
71 |
32 |
$0.00 |
| 99072 |
|
23 |
12 |
$0.00 |