| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,344 |
3,065 |
$92K |
| 90686 |
|
97 |
96 |
$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 |
40 |
39 |
$989.20 |
| 90688 |
|
31 |
31 |
$784.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
154 |
153 |
$436.01 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$54.24 |
| 1125F |
|
110 |
103 |
$0.00 |
| 3075F |
|
56 |
53 |
$0.00 |
| 3074F |
|
517 |
490 |
$0.00 |
| 3351F |
|
696 |
661 |
$0.00 |
| 1126F |
|
572 |
550 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
107 |
106 |
$0.00 |
| 3079F |
|
150 |
147 |
$0.00 |
| 99050 |
|
17 |
16 |
$0.00 |
| 3078F |
|
514 |
484 |
$0.00 |
| 1158F |
|
356 |
343 |
$0.00 |
| 1160F |
|
112 |
106 |
$0.00 |