| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,494 |
1,263 |
$227K |
| 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 |
232 |
138 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
124 |
106 |
$383.93 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
26 |
15 |
$276.15 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
15 |
$3.09 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
161 |
140 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
25 |
13 |
$0.00 |