| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
424 |
405 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
619 |
568 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
355 |
333 |
$9K |
| 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 |
40 |
40 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$17.84 |
| 1160F |
|
521 |
481 |
$0.00 |
| 3078F |
|
313 |
292 |
$0.00 |
| 1158F |
|
431 |
399 |
$0.00 |
| 1126F |
|
429 |
399 |
$0.00 |
| 3074F |
|
246 |
230 |
$0.00 |
| 3351F |
|
463 |
428 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
43 |
43 |
$0.00 |