| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,681 |
10,923 |
$2.01M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,839 |
6,043 |
$213K |
| 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 |
7,260 |
5,341 |
$202K |
| T2022 |
Case management, per month |
2,989 |
2,090 |
$201K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,802 |
2,680 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
76 |
70 |
$11K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
366 |
160 |
$7K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
655 |
306 |
$4K |
| 0012A |
|
105 |
82 |
$1K |
| 0011A |
|
124 |
93 |
$974.00 |
| 90686 |
|
908 |
869 |
$771.60 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
154 |
129 |
$232.57 |
| 91301 |
|
253 |
192 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
909 |
814 |
$0.00 |
| 96127 |
|
20 |
15 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
102 |
84 |
$0.00 |
| 92551 |
|
17 |
12 |
$0.00 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
16,073 |
11,299 |
$0.00 |
| A0100 |
Non-emergency transportation; taxi |
5,267 |
4,008 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,403 |
656 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
78 |
70 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$0.00 |
| 90662 |
|
43 |
30 |
$0.00 |
| 90785 |
|
55 |
12 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
14 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
21 |
13 |
$0.00 |