| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,267 |
6,653 |
$64K |
| 92552 |
|
523 |
523 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
905 |
744 |
$728.00 |
| 90688 |
|
217 |
217 |
$708.31 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,878 |
4,438 |
$359.75 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
39 |
38 |
$120.00 |
| 90734 |
|
13 |
13 |
$54.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
17 |
$19.00 |
| 99173 |
|
429 |
429 |
$0.00 |
| 90658 |
|
18 |
18 |
$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 |
18 |
18 |
$0.00 |