| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
25,601 |
20,157 |
$5.46M |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
382 |
297 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
257 |
217 |
$12K |
| 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 |
449 |
372 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
143 |
121 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
53 |
51 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
36 |
26 |
$2K |
| 90686 |
|
50 |
43 |
$497.16 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,353 |
1,125 |
$391.26 |
| 90734 |
|
25 |
24 |
$289.47 |
| 90633 |
|
16 |
12 |
$157.68 |
| 90670 |
|
12 |
12 |
$144.54 |
| 90649 |
|
15 |
14 |
$144.54 |
| 90674 |
|
14 |
12 |
$30.90 |
| 3078F |
|
19 |
19 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
106 |
90 |
$0.00 |
| 3074F |
|
14 |
13 |
$0.00 |