| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,708 |
1,561 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
493 |
468 |
$21K |
| 90686 |
|
60 |
60 |
$1K |
| 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 |
58 |
54 |
$1K |
| 90688 |
|
33 |
33 |
$727.36 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
185 |
184 |
$644.92 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
380 |
341 |
$624.36 |
| 3078F |
|
256 |
230 |
$0.00 |
| 1158F |
|
18 |
18 |
$0.00 |
| 1160F |
|
320 |
282 |
$0.00 |
| 3077F |
|
13 |
12 |
$0.00 |
| 3074F |
|
232 |
209 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| 3351F |
|
284 |
264 |
$0.00 |
| 1126F |
|
168 |
154 |
$0.00 |
| 1125F |
|
28 |
26 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
14 |
$0.00 |