| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
19,383 |
15,658 |
$3.19M |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,657 |
1,442 |
$132K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
698 |
651 |
$37K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
708 |
668 |
$37K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
1,088 |
897 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
212 |
207 |
$12K |
| 90686 |
|
984 |
958 |
$12K |
| 90670 |
|
511 |
502 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
504 |
424 |
$4K |
| 0002A |
|
53 |
51 |
$4K |
| 0001A |
|
79 |
76 |
$4K |
| 90633 |
|
218 |
214 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
51 |
49 |
$2K |
| 90698 |
|
174 |
171 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
28 |
$1K |
| 90661 |
|
68 |
67 |
$1K |
| 90744 |
|
86 |
82 |
$867.44 |
| 90710 |
|
77 |
75 |
$856.62 |
| 99381 |
|
15 |
13 |
$676.92 |
| 0124A |
|
14 |
14 |
$480.00 |
| 90713 |
|
39 |
37 |
$414.12 |
| 90677 |
|
30 |
28 |
$367.92 |
| 90681 |
|
26 |
25 |
$239.00 |
| 90715 |
|
35 |
33 |
$236.52 |
| 90696 |
|
12 |
12 |
$157.68 |
| 90651 |
|
13 |
12 |
$157.68 |
| 90619 |
|
28 |
27 |
$157.68 |
| 90734 |
|
12 |
12 |
$157.68 |
| 90685 |
|
15 |
15 |
$143.40 |
| 90647 |
|
12 |
12 |
$114.72 |
| 96127 |
|
29 |
29 |
$74.16 |
| 90480 |
|
20 |
18 |
$0.00 |