| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
27,843 |
23,467 |
$4.76M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,461 |
12,513 |
$110K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,709 |
1,662 |
$68K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
418 |
234 |
$22K |
| 90791 |
Psychiatric diagnostic evaluation |
110 |
69 |
$6K |
| 90834 |
Psychotherapy, 45 minutes with patient |
245 |
149 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,546 |
5,159 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,152 |
821 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
36 |
28 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
853 |
589 |
$1K |
| 93000 |
|
134 |
95 |
$932.90 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
97 |
37 |
$92.52 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
175 |
126 |
$45.00 |
| 90658 |
|
17 |
12 |
$20.00 |
| 3008F |
|
482 |
344 |
$14.00 |
| 3074F |
|
270 |
192 |
$5.00 |
| 3078F |
|
195 |
144 |
$3.00 |
| 3079F |
|
217 |
156 |
$2.00 |
| 3077F |
|
15 |
12 |
$0.00 |
| 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 |
52 |
47 |
$0.00 |
| 88150 |
|
262 |
200 |
$0.00 |
| 1111F |
|
74 |
57 |
$0.00 |
| 99386 |
|
14 |
12 |
$0.00 |
| 99385 |
|
116 |
90 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
96 |
69 |
$0.00 |
| 3075F |
|
67 |
48 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
14 |
13 |
$0.00 |