| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
18,021 |
13,526 |
$3.56M |
| 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 |
5,501 |
4,610 |
$347K |
| 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 |
1,200 |
640 |
$82K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
363 |
316 |
$41K |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,739 |
2,192 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,326 |
7,777 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,742 |
5,339 |
$17K |
| G0008 |
Administration of influenza virus vaccine |
478 |
469 |
$6K |
| 98926 |
|
473 |
366 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
738 |
701 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
340 |
319 |
$2K |
| 90686 |
|
433 |
427 |
$974.62 |
| 98927 |
|
1,051 |
649 |
$970.70 |
| 97803 |
|
506 |
469 |
$581.38 |
| 0124A |
|
15 |
15 |
$522.52 |
| 81025 |
|
85 |
81 |
$489.52 |
| 97802 |
|
119 |
103 |
$313.73 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
68 |
66 |
$189.07 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
130 |
126 |
$63.25 |
| 90791 |
Psychiatric diagnostic evaluation |
69 |
66 |
$32.98 |
| 17000 |
|
12 |
12 |
$25.42 |
| 17110 |
|
166 |
161 |
$25.17 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$20.52 |
| 99215 |
Prolong outpt/office vis |
62 |
60 |
$18.70 |
| 90715 |
|
65 |
63 |
$16.88 |
| 90662 |
|
16 |
14 |
$7.16 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
13 |
$0.00 |
| 96160 |
|
103 |
100 |
$0.00 |
| 91312 |
|
15 |
15 |
$0.00 |
| 98925 |
|
82 |
71 |
$0.00 |
| 90656 |
|
19 |
19 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
68 |
65 |
$0.00 |
| 94760 |
|
15 |
13 |
$0.00 |