| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,194 |
7,811 |
$242K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,304 |
2,847 |
$112K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,223 |
576 |
$15K |
| 36415 |
Collection of venous blood by venipuncture |
4,110 |
3,525 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
691 |
640 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
737 |
662 |
$5K |
| 90686 |
|
228 |
215 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
67 |
52 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
108 |
89 |
$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 |
145 |
133 |
$1K |
| 90633 |
|
98 |
89 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
56 |
53 |
$707.28 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
18 |
$662.22 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
43 |
42 |
$539.34 |
| 90734 |
|
26 |
24 |
$510.00 |
| 99406 |
|
54 |
51 |
$447.08 |
| 81003 |
|
57 |
52 |
$98.14 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$0.00 |
| 2014F |
|
20 |
20 |
$0.00 |
| 3008F |
|
27 |
27 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
12 |
12 |
$0.00 |