| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,780 |
4,007 |
$771K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,578 |
1,403 |
$259K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
615 |
520 |
$101K |
| J2315 |
Injection, naltrexone, depot form, 1 mg |
89 |
79 |
$46K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
242 |
237 |
$44K |
| 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 |
244 |
192 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
12 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
248 |
218 |
$686.60 |
| 3725F |
|
1,298 |
1,131 |
$508.06 |
| 3008F |
|
5,230 |
4,189 |
$378.14 |
| 3074F |
|
402 |
360 |
$263.45 |
| 1000F |
|
78 |
63 |
$195.20 |
| 90688 |
|
132 |
121 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,317 |
1,180 |
$0.00 |
| 3075F |
|
53 |
51 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
136 |
130 |
$0.00 |
| 3080F |
|
31 |
30 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
245 |
210 |
$0.00 |
| 90686 |
|
34 |
33 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$0.00 |
| 99406 |
|
28 |
26 |
$0.00 |
| 3079F |
|
118 |
109 |
$0.00 |
| 80305 |
|
1,544 |
1,205 |
$0.00 |
| 3078F |
|
324 |
286 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
863 |
769 |
$0.00 |
| 81025 |
|
41 |
36 |
$0.00 |
| 3077F |
|
49 |
48 |
$0.00 |