| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
162 |
142 |
$27K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
112 |
60 |
$15K |
| 90837 |
Psychotherapy, 53 minutes with patient |
82 |
49 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
766 |
597 |
$13K |
| 99417 |
Prolong home eval add 15m |
43 |
40 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,000 |
562 |
$1K |
| 96160 |
|
46 |
32 |
$23.10 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
141 |
68 |
$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 |
1,267 |
952 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
537 |
401 |
$0.00 |
| 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 |
1,846 |
916 |
$0.00 |