| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
29,434 |
24,668 |
$5.81M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,861 |
10,073 |
$115K |
| 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 |
2,580 |
2,079 |
$112K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
587 |
535 |
$77K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,752 |
12,727 |
$39K |
| 36415 |
Collection of venous blood by venipuncture |
6,200 |
5,921 |
$5K |
| 0031A |
|
36 |
36 |
$1K |
| 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 |
783 |
315 |
$1K |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
13 |
13 |
$786.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
218 |
218 |
$763.89 |
| 0012A |
|
15 |
15 |
$449.07 |
| 90686 |
|
166 |
165 |
$433.45 |
| 90674 |
|
123 |
123 |
$410.55 |
| 99215 |
Prolong outpt/office vis |
76 |
75 |
$106.86 |
| 1036F |
|
5,353 |
4,916 |
$73.71 |
| 90656 |
|
14 |
14 |
$71.16 |
| 80305 |
|
396 |
289 |
$69.21 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
83 |
83 |
$48.26 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$47.67 |
| 1160F |
|
7,000 |
6,390 |
$9.47 |
| 96127 |
|
1,753 |
1,221 |
$7.42 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
41 |
41 |
$7.07 |
| 4004F |
|
1,280 |
1,214 |
$0.00 |
| 3078F |
|
617 |
562 |
$0.00 |
| 3725F |
|
2,263 |
2,099 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
36 |
33 |
$0.00 |
| 2028F |
|
51 |
51 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
98 |
98 |
$0.00 |
| 3077F |
|
44 |
40 |
$0.00 |
| 3008F |
|
807 |
768 |
$0.00 |
| 3075F |
|
99 |
96 |
$0.00 |
| 3074F |
|
879 |
820 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,103 |
954 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
15 |
14 |
$0.00 |
| 1034F |
|
144 |
130 |
$0.00 |
| 3079F |
|
477 |
449 |
$0.00 |
| 3351F |
|
89 |
83 |
$0.00 |
| 91303 |
|
33 |
33 |
$0.00 |
| 3080F |
|
17 |
17 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
31 |
30 |
$0.00 |
| 91301 |
|
20 |
20 |
$0.00 |