| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,586 |
13,835 |
$1.47M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,075 |
3,591 |
$357K |
| 99215 |
Prolong outpt/office vis |
1,292 |
1,189 |
$113K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,898 |
1,878 |
$28K |
| 82962 |
|
2,297 |
2,107 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
626 |
586 |
$8K |
| 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 |
150 |
149 |
$7K |
| 81002 |
|
538 |
528 |
$5K |
| 90837 |
Psychotherapy, 53 minutes with patient |
42 |
29 |
$4K |
| 99205 |
Prolong outpt/office vis |
53 |
36 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
61 |
61 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
125 |
110 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
149 |
145 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
24 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
124 |
121 |
$816.54 |
| 87254 |
|
88 |
85 |
$714.61 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
74 |
66 |
$502.27 |
| 87430 |
|
96 |
94 |
$494.12 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
12 |
12 |
$393.04 |
| 81003 |
|
64 |
64 |
$262.34 |
| 90756 |
|
40 |
39 |
$0.00 |