| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,494 |
1,373 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
254 |
237 |
$13K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
251 |
215 |
$5K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
77 |
30 |
$1K |
| 99442 |
|
30 |
27 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
21 |
12 |
$711.60 |
| 90686 |
|
12 |
12 |
$227.33 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$169.54 |
| 80305 |
|
24 |
24 |
$151.90 |
| 3078F |
|
31 |
28 |
$0.00 |
| 3077F |
|
18 |
14 |
$0.00 |
| 3074F |
|
44 |
42 |
$0.00 |
| 3008F |
|
62 |
58 |
$0.00 |
| 3079F |
|
15 |
13 |
$0.00 |