| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
10,681 |
9,255 |
$1.69M |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,334 |
1,219 |
$74K |
| 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 |
907 |
801 |
$19K |
| 0002A |
|
142 |
142 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
243 |
223 |
$13K |
| 0072A |
|
220 |
215 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
141 |
138 |
$8K |
| 0001A |
|
86 |
86 |
$8K |
| 0071A |
|
161 |
161 |
$6K |
| 90661 |
|
201 |
199 |
$3K |
| 90686 |
|
231 |
215 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
47 |
46 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
678 |
608 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
38 |
37 |
$2K |
| 90677 |
|
166 |
156 |
$2K |
| 90697 |
|
130 |
120 |
$2K |
| 0053A |
|
77 |
39 |
$1K |
| 0052A |
|
25 |
12 |
$1K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
77 |
72 |
$936.43 |
| 90681 |
|
105 |
74 |
$814.68 |
| 0003A |
|
20 |
20 |
$760.00 |
| 90633 |
|
39 |
39 |
$499.32 |
| 90756 |
|
39 |
26 |
$410.22 |
| 96127 |
|
47 |
46 |
$86.52 |
| 96381 |
|
15 |
12 |
$0.00 |