| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,232 |
7,544 |
$653K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
571 |
328 |
$39K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
211 |
163 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
52 |
26 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
559 |
418 |
$107.33 |
| 90686 |
|
150 |
109 |
$18.65 |
| Q3014 |
Telehealth originating site facility fee |
169 |
120 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
15 |
14 |
$0.00 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
13 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
58 |
28 |
$0.00 |