| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,127 |
4,338 |
$705K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,507 |
1,199 |
$224K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
304 |
250 |
$35K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
157 |
147 |
$6K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
42 |
39 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
96 |
87 |
$3K |
| 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 |
30 |
14 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
108 |
99 |
$1K |
| 90688 |
|
42 |
42 |
$692.58 |
| 90686 |
|
86 |
85 |
$688.78 |
| 90756 |
|
27 |
26 |
$533.67 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
12 |
12 |
$260.20 |
| 81002 |
|
41 |
38 |
$103.17 |