| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,231 |
4,460 |
$249K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,069 |
3,846 |
$230K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
673 |
584 |
$39K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
115 |
109 |
$11K |
| 99307 |
|
257 |
256 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
251 |
182 |
$3K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
57 |
53 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 73562 |
|
73 |
53 |
$928.60 |
| 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 |
48 |
48 |
$894.80 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
60 |
47 |
$747.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
47 |
37 |
$676.73 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$637.08 |
| 20610 |
|
31 |
25 |
$559.81 |
| 90686 |
|
59 |
57 |
$504.78 |
| 36415 |
Collection of venous blood by venipuncture |
45 |
37 |
$101.12 |
| 99000 |
|
26 |
24 |
$56.20 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
44 |
28 |
$34.33 |
| C9290 |
Injection, bupivacaine liposome, 1 mg |
35 |
25 |
$0.36 |
| 36416 |
|
377 |
373 |
$0.00 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
28 |
12 |
$0.00 |