| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,273 |
4,856 |
$584K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,342 |
6,786 |
$12K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
468 |
415 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
948 |
925 |
$5K |
| 0012A |
|
66 |
34 |
$4K |
| 99406 |
|
209 |
199 |
$2K |
| 99215 |
Prolong outpt/office vis |
579 |
540 |
$2K |
| 90686 |
|
78 |
77 |
$2K |
| 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 |
857 |
810 |
$964.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
48 |
48 |
$596.38 |
| 99173 |
|
18 |
18 |
$49.68 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
37 |
37 |
$0.00 |
| 81002 |
|
18 |
18 |
$0.00 |
| 92551 |
|
20 |
20 |
$0.00 |