| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,203 |
2,948 |
$89K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,194 |
1,137 |
$51K |
| 90686 |
|
137 |
131 |
$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 |
89 |
83 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
52 |
52 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
160 |
156 |
$517.69 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
548 |
495 |
$462.22 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
111 |
107 |
$0.00 |
| 3351F |
|
368 |
340 |
$0.00 |
| 3074F |
|
232 |
216 |
$0.00 |
| 1126F |
|
217 |
203 |
$0.00 |
| 1125F |
|
14 |
13 |
$0.00 |
| 1158F |
|
84 |
82 |
$0.00 |
| 3078F |
|
257 |
241 |
$0.00 |
| 1160F |
|
40 |
38 |
$0.00 |