| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
11,544 |
10,231 |
$1.50M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,071 |
5,280 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,889 |
1,305 |
$10K |
| 90686 |
|
607 |
555 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,259 |
1,758 |
$7K |
| 90832 |
Psychotherapy, 30 minutes with patient |
412 |
218 |
$2K |
| 90688 |
|
263 |
208 |
$2K |
| 90670 |
|
139 |
92 |
$1K |
| 92551 |
|
879 |
747 |
$659.94 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
273 |
156 |
$541.25 |
| 90648 |
|
75 |
55 |
$504.00 |
| 90715 |
|
34 |
25 |
$469.47 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
101 |
53 |
$461.76 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
126 |
78 |
$421.19 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
12 |
$351.42 |
| 90680 |
|
41 |
25 |
$207.00 |
| 99406 |
|
16 |
12 |
$170.56 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
120 |
71 |
$112.30 |
| 90649 |
|
24 |
13 |
$72.00 |
| 90734 |
|
21 |
12 |
$72.00 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
341 |
301 |
$37.83 |
| 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 |
107 |
79 |
$27.90 |
| 85018 |
|
117 |
116 |
$6.01 |
| 99173 |
|
138 |
137 |
$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 |
221 |
200 |
$0.00 |
| 86710 |
|
26 |
25 |
$0.00 |