| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,230 |
2,111 |
$96K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,366 |
1,306 |
$38K |
| 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 |
75 |
69 |
$2K |
| 90686 |
|
52 |
52 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
233 |
227 |
$740.10 |
| 92551 |
|
32 |
25 |
$293.16 |
| 90688 |
|
13 |
12 |
$286.32 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
24 |
$229.32 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
171 |
168 |
$100.00 |
| 90670 |
|
12 |
12 |
$53.14 |
| 85018 |
|
38 |
32 |
$51.96 |
| 3351F |
|
732 |
696 |
$0.00 |
| 1126F |
|
715 |
684 |
$0.00 |
| 3074F |
|
472 |
455 |
$0.00 |
| 1125F |
|
159 |
150 |
$0.00 |
| 3075F |
|
45 |
44 |
$0.00 |
| 3079F |
|
197 |
189 |
$0.00 |
| 36416 |
|
30 |
28 |
$0.00 |
| 1158F |
|
291 |
282 |
$0.00 |
| 3078F |
|
436 |
418 |
$0.00 |
| 1160F |
|
803 |
759 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
22 |
21 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |
| 90746 |
|
12 |
12 |
$0.00 |