| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,901 |
1,596 |
$266K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,291 |
1,052 |
$173K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
301 |
202 |
$48K |
| 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 |
817 |
546 |
$20K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
374 |
181 |
$16K |
| 99443 |
|
47 |
46 |
$8K |
| 99442 |
|
40 |
37 |
$6K |
| 99441 |
|
30 |
26 |
$4K |
| 0002A |
|
15 |
15 |
$3K |
| 0004A |
|
14 |
14 |
$3K |
| 0001A |
|
12 |
12 |
$2K |
| 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 |
18 |
12 |
$679.93 |
| 3008F |
|
45 |
41 |
$201.78 |
| 1220F |
|
22 |
20 |
$0.00 |
| 3351F |
|
22 |
20 |
$0.00 |