| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,686 |
2,196 |
$244K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
463 |
404 |
$35K |
| 99441 |
|
376 |
328 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
24 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
337 |
203 |
$1K |
| 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 |
60 |
36 |
$591.65 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
38 |
29 |
$546.84 |
| 99442 |
|
17 |
17 |
$479.17 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
632 |
239 |
$351.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$186.59 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
424 |
348 |
$118.30 |
| 90688 |
|
13 |
13 |
$0.00 |
| 87400 |
|
44 |
42 |
$0.00 |