| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
693 |
616 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
512 |
469 |
$19K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
312 |
291 |
$9K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
337 |
302 |
$8K |
| 99307 |
|
165 |
162 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
45 |
45 |
$3K |
| 99490 |
Ccm add 20min |
304 |
278 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
41 |
41 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
74 |
72 |
$1K |
| 99201 |
|
55 |
54 |
$940.26 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$856.26 |
| 99406 |
|
71 |
40 |
$240.99 |
| 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 |
13 |
12 |
$85.77 |
| 99401 |
|
12 |
12 |
$0.00 |
| 99443 |
|
12 |
12 |
$0.00 |
| 99000 |
|
63 |
56 |
$0.00 |
| 99441 |
|
13 |
13 |
$0.00 |