| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,828 |
3,159 |
$634K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,472 |
1,299 |
$224K |
| 90832 |
Psychotherapy, 30 minutes with patient |
692 |
623 |
$81K |
| 90863 |
|
359 |
353 |
$48K |
| Q3014 |
Telehealth originating site facility fee |
356 |
345 |
$45K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
204 |
178 |
$35K |
| 99442 |
|
102 |
89 |
$17K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
331 |
224 |
$11K |
| 0002A |
|
26 |
26 |
$5K |
| 0001A |
|
19 |
19 |
$3K |
| 0013A |
|
17 |
17 |
$3K |
| 0004A |
|
12 |
12 |
$2K |
| H0038 |
Self-help/peer services, per 15 minutes |
12 |
12 |
$2K |
| 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 |
50 |
39 |
$816.49 |
| 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 |
26 |
14 |
$735.37 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
27 |
27 |
$369.82 |
| 80305 |
|
61 |
52 |
$334.16 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
15 |
$209.44 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
31 |
$91.64 |
| 3008F |
|
229 |
193 |
$0.00 |