| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,651 |
12,037 |
$678K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,436 |
11,878 |
$433K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,706 |
1,461 |
$86K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,108 |
955 |
$56K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
587 |
465 |
$49K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
563 |
509 |
$30K |
| 90834 |
Psychotherapy, 45 minutes with patient |
625 |
447 |
$27K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
550 |
480 |
$17K |
| 99443 |
|
954 |
581 |
$15K |
| 90832 |
Psychotherapy, 30 minutes with patient |
232 |
162 |
$8K |
| 99442 |
|
348 |
210 |
$4K |
| 90837 |
Psychotherapy, 53 minutes with patient |
49 |
29 |
$4K |
| 99215 |
Prolong outpt/office vis |
54 |
49 |
$3K |
| 90686 |
|
161 |
150 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
43 |
41 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
371 |
275 |
$1K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
64 |
58 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
60 |
46 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
3,170 |
2,560 |
$198.60 |
| 90656 |
|
14 |
13 |
$195.00 |
| 99441 |
|
53 |
30 |
$130.68 |
| 36416 |
|
75 |
59 |
$127.04 |
| 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 |
48 |
46 |
$109.53 |
| 90648 |
|
28 |
28 |
$98.41 |
| 90670 |
|
13 |
13 |
$47.91 |
| 90723 |
|
12 |
12 |
$44.43 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,681 |
4,872 |
$40.86 |
| 90474 |
|
56 |
54 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,458 |
2,058 |
$0.00 |