| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,100 |
2,563 |
$473K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,784 |
1,503 |
$259K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
656 |
542 |
$95K |
| 99442 |
|
188 |
156 |
$28K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
431 |
287 |
$19K |
| 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 |
288 |
216 |
$8K |
| 99441 |
|
22 |
21 |
$3K |
| 0003A |
|
14 |
14 |
$3K |
| 0124A |
|
14 |
13 |
$2K |
| 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 |
27 |
18 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
39 |
37 |
$308.40 |
| 80305 |
|
44 |
42 |
$188.64 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
53 |
50 |
$180.43 |
| 90688 |
|
26 |
26 |
$177.52 |
| 99000 |
|
46 |
46 |
$175.35 |
| 36415 |
Collection of venous blood by venipuncture |
101 |
92 |
$38.93 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$22.00 |
| 3008F |
|
183 |
155 |
$0.00 |
| 1220F |
|
47 |
41 |
$0.00 |
| 3351F |
|
47 |
41 |
$0.00 |