| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,501 |
3,274 |
$595K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,450 |
2,315 |
$81K |
| 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 |
970 |
928 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
773 |
755 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
131 |
121 |
$4K |
| 90686 |
|
103 |
100 |
$3K |
| 90656 |
|
49 |
49 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
29 |
28 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
17 |
15 |
$745.31 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
22 |
22 |
$368.20 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16 |
16 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
84 |
83 |
$0.00 |
| 36416 |
|
53 |
53 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
36 |
36 |
$0.00 |