| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,197 |
841 |
$16K |
| T1015 |
Clinic visit/encounter, all-inclusive |
300 |
272 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,731 |
2,829 |
$4K |
| 97802 |
|
19 |
19 |
$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 |
4,194 |
3,072 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
443 |
302 |
$1K |
| 99422 |
|
28 |
25 |
$189.00 |
| 1159F |
|
1,237 |
369 |
$0.00 |
| 1160F |
|
1,238 |
370 |
$0.00 |
| 3725F |
|
793 |
451 |
$0.00 |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
271 |
221 |
$0.00 |
| 3078F |
|
130 |
65 |
$0.00 |
| 1036F |
|
632 |
352 |
$0.00 |
| 96127 |
|
740 |
339 |
$0.00 |
| 3008F |
|
550 |
328 |
$0.00 |
| 3079F |
|
143 |
81 |
$0.00 |
| 1126F |
|
359 |
176 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
151 |
139 |
$0.00 |
| 3074F |
|
172 |
93 |
$0.00 |
| 3075F |
|
24 |
12 |
$0.00 |