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Procedure Codes Used in Primary Care Visit Criteria
| For primary care performing providers | For FQHC/RHC performing providers |
|---|---|
| 99201–99205 | T1015, with MOD1 not in (“HE”, “U9”, “HF”) |
| 99211–99215 | |
| 99381–99387 | |
| 99241–99245 | |
| 99271–99275 | |
| 99499 | |
| G0402 | |
| G0438 | |
| G0439 |
