| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
602 |
386 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
427 |
395 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
157 |
137 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
37 |
$3K |
| H0032 |
Mental health service plan development by non-physician |
35 |
34 |
$2K |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
85 |
69 |
$655.85 |
| 99406 |
|
96 |
87 |
$545.15 |
| H0031 |
Mental health assessment, by non-physician |
22 |
22 |
$358.00 |
| 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 |
20 |
17 |
$0.00 |