| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,195 |
5,712 |
$92K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,369 |
3,087 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
140 |
138 |
$4K |
| 90686 |
|
147 |
143 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
427 |
404 |
$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 |
56 |
54 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$241.26 |
| 90688 |
|
107 |
106 |
$204.10 |
| 92552 |
|
217 |
217 |
$177.55 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
311 |
309 |
$100.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$56.57 |
| 90658 |
|
55 |
55 |
$18.00 |
| 1125F |
|
230 |
223 |
$0.00 |
| 3074F |
|
675 |
653 |
$0.00 |
| 3351F |
|
849 |
811 |
$0.00 |
| 3079F |
|
183 |
176 |
$0.00 |
| 1126F |
|
538 |
522 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
13 |
12 |
$0.00 |
| 3075F |
|
14 |
13 |
$0.00 |
| 1158F |
|
211 |
205 |
$0.00 |
| 99173 |
|
230 |
230 |
$0.00 |
| 1160F |
|
488 |
470 |
$0.00 |
| 3078F |
|
676 |
652 |
$0.00 |
| 3077F |
|
27 |
27 |
$0.00 |