| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,987 |
6,943 |
$572K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,903 |
5,947 |
$330K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
373 |
312 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
39 |
$4K |
| 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 |
246 |
213 |
$3K |
| 90686 |
|
128 |
123 |
$2K |
| 3074F |
|
1,713 |
1,514 |
$2K |
| 3078F |
|
1,536 |
1,376 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
76 |
70 |
$1K |
| 3079F |
|
755 |
681 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
427 |
388 |
$825.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
77 |
71 |
$622.30 |
| 3075F |
|
271 |
252 |
$525.00 |
| 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 |
82 |
74 |
$491.44 |
| 3077F |
|
173 |
148 |
$325.00 |
| 3080F |
|
15 |
14 |
$100.00 |