| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,361 |
3,264 |
$639K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,012 |
10,246 |
$399K |
| 90834 |
Psychotherapy, 45 minutes with patient |
7,641 |
5,001 |
$239K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,494 |
2,860 |
$73K |
| 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 |
1,823 |
1,345 |
$41K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,367 |
991 |
$35K |
| 80305 |
|
2,259 |
1,676 |
$18K |
| Q3014 |
Telehealth originating site facility fee |
1,207 |
816 |
$16K |
| 99442 |
|
1,337 |
982 |
$15K |
| 90791 |
Psychiatric diagnostic evaluation |
277 |
221 |
$14K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
491 |
136 |
$5K |
| 90686 |
|
529 |
496 |
$4K |
| 90837 |
Psychotherapy, 53 minutes with patient |
139 |
85 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
142 |
122 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
148 |
145 |
$2K |
| 90688 |
|
111 |
105 |
$2K |
| 0012A |
|
38 |
36 |
$1K |
| 99215 |
Prolong outpt/office vis |
89 |
57 |
$1K |
| 0011A |
|
30 |
29 |
$1K |
| 90656 |
|
27 |
27 |
$510.44 |
| 0124A |
|
21 |
16 |
$496.08 |
| 0002A |
|
12 |
12 |
$448.15 |
| 82962 |
|
201 |
154 |
$328.52 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
13 |
13 |
$165.60 |
| 99441 |
|
21 |
14 |
$163.35 |
| 82947 |
|
19 |
13 |
$81.16 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
18 |
12 |
$43.84 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
12 |
$26.48 |
| 99173 |
|
232 |
198 |
$19.00 |
| 36416 |
|
29 |
25 |
$15.15 |
| 92551 |
|
284 |
241 |
$15.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
330 |
294 |
$3.22 |
| 3074F |
|
1,576 |
1,301 |
$0.00 |
| 3008F |
|
187 |
166 |
$0.00 |
| 3079F |
|
356 |
280 |
$0.00 |
| 3075F |
|
74 |
53 |
$0.00 |
| 3078F |
|
1,388 |
1,135 |
$0.00 |
| 91300 |
|
15 |
13 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
14 |
$0.00 |