| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,390 |
4,062 |
$161K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,922 |
4,062 |
$97K |
| 99215 |
Prolong outpt/office vis |
142 |
122 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
52 |
37 |
$4K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
172 |
85 |
$3K |
| 99205 |
Prolong outpt/office vis |
15 |
12 |
$2K |
| 0011A |
|
26 |
26 |
$1K |
| 0012A |
|
22 |
22 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
58 |
53 |
$870.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
313 |
296 |
$564.59 |
| 90686 |
|
41 |
41 |
$448.91 |
| 81025 |
|
85 |
83 |
$325.62 |
| 90656 |
|
16 |
16 |
$217.47 |
| 80305 |
|
27 |
25 |
$201.22 |
| 90694 |
|
15 |
15 |
$132.86 |
| 96127 |
|
35 |
31 |
$130.74 |
| 51798 |
|
44 |
28 |
$84.34 |
| 81003 |
|
414 |
253 |
$27.37 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
145 |
112 |
$0.48 |
| 1111F |
|
119 |
67 |
$0.00 |
| 91301 |
|
58 |
58 |
$0.00 |
| G9691 |
Patient had hospice services any time during the measurement period |
25 |
13 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,077 |
914 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
17 |
14 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
111 |
103 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
28 |
27 |
$0.00 |
| 0502F |
|
12 |
12 |
$0.00 |
| 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 |
15 |
12 |
$0.00 |
| 3725F |
|
13 |
13 |
$0.00 |