| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
51,588 |
45,718 |
$8.14M |
| 00003 |
Internal/system code - not a standard HCPCS code |
14,934 |
14,224 |
$3.25M |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,257 |
1,120 |
$15K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
721 |
721 |
$9K |
| 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 |
750 |
688 |
$8K |
| 92015 |
Determination of refractive state |
928 |
928 |
$3K |
| 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 |
159 |
158 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,053 |
19,255 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,516 |
2,405 |
$92.16 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,488 |
1,484 |
$88.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,662 |
7,083 |
$56.63 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
260 |
259 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,002 |
951 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
731 |
720 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
191 |
191 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
27 |
27 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
191 |
187 |
$0.00 |
| 0521 |
|
14 |
13 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12 |
12 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
199 |
196 |
$0.00 |