| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,049 |
11,772 |
$438K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,636 |
5,015 |
$278K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,745 |
944 |
$72K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,221 |
1,083 |
$68K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,157 |
1,102 |
$66K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
719 |
679 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
276 |
271 |
$15K |
| 99215 |
Prolong outpt/office vis |
178 |
157 |
$14K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
295 |
288 |
$13K |
| 11721 |
|
329 |
310 |
$10K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
165 |
162 |
$8K |
| 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 |
431 |
408 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
198 |
192 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
57 |
41 |
$3K |
| 0002A |
|
27 |
27 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
55 |
43 |
$849.85 |
| 90791 |
Psychiatric diagnostic evaluation |
15 |
14 |
$830.80 |
| 0001A |
|
24 |
24 |
$809.37 |
| 0072A |
|
29 |
13 |
$532.51 |
| 99442 |
|
25 |
22 |
$487.11 |
| 90656 |
|
26 |
26 |
$320.10 |
| 90677 |
|
16 |
16 |
$199.20 |
| 90723 |
|
13 |
13 |
$198.90 |
| 96127 |
|
49 |
48 |
$155.81 |
| 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 |
23 |
20 |
$154.48 |
| 90647 |
|
12 |
12 |
$152.40 |
| 99188 |
|
13 |
12 |
$129.68 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
84 |
78 |
$54.60 |
| 94760 |
|
26 |
26 |
$34.90 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
787 |
737 |
$0.00 |
| 91300 |
|
66 |
60 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
48 |
47 |
$0.00 |
| 91307 |
|
16 |
14 |
$0.00 |