| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,105 |
1,298 |
$380K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
403 |
193 |
$42K |
| 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 |
1,281 |
1,014 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,299 |
1,845 |
$27K |
| 90837 |
Psychotherapy, 53 minutes with patient |
159 |
105 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
179 |
150 |
$6K |
| 90834 |
Psychotherapy, 45 minutes with patient |
46 |
44 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
346 |
250 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
14 |
14 |
$1K |
| Q3014 |
Telehealth originating site facility fee |
36 |
27 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$914.60 |
| 80305 |
|
1,046 |
727 |
$463.66 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
103 |
79 |
$290.84 |
| 81002 |
|
60 |
59 |
$186.42 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
27 |
27 |
$182.92 |
| 36415 |
Collection of venous blood by venipuncture |
223 |
216 |
$47.29 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
75 |
75 |
$31.07 |
| 86403 |
|
13 |
13 |
$12.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
53 |
49 |
$7.64 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
13 |
13 |
$7.58 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$5.04 |
| 80306 |
|
128 |
83 |
$0.00 |
| 85018 |
|
17 |
17 |
$0.00 |
| 36416 |
|
19 |
18 |
$0.00 |