| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0999 |
Unspecified diagnostic procedure, by report |
2,966 |
2,804 |
$629K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,930 |
3,211 |
$440K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,872 |
1,603 |
$247K |
| 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 |
1,715 |
1,238 |
$39K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
259 |
173 |
$36K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
348 |
211 |
$13K |
| 99441 |
|
59 |
52 |
$8K |
| 99442 |
|
51 |
48 |
$8K |
| 0013A |
|
34 |
34 |
$6K |
| 0011A |
|
17 |
17 |
$3K |
| 0012A |
|
16 |
16 |
$3K |
| 80305 |
|
218 |
185 |
$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 |
40 |
24 |
$774.02 |
| Q2036 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
16 |
16 |
$17.66 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$11.04 |
| 36415 |
Collection of venous blood by venipuncture |
47 |
44 |
$9.05 |