| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,580 |
4,218 |
$754K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,228 |
2,113 |
$125.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
737 |
696 |
$75.00 |
| 3078F |
|
39 |
38 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
173 |
170 |
$0.00 |
| 3008F |
|
1,183 |
1,115 |
$0.00 |
| 3074F |
|
56 |
55 |
$0.00 |
| 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 |
499 |
448 |
$0.00 |
| 3079F |
|
67 |
66 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
97 |
97 |
$0.00 |
| 90686 |
|
24 |
14 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |