| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
8,968 |
7,521 |
$1.50M |
| 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 |
1,587 |
1,352 |
$31K |
| 87636 |
|
157 |
147 |
$12K |
| 87428 |
|
150 |
146 |
$9K |
| 87426 |
|
76 |
67 |
$3K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
232 |
232 |
$2K |
| 99213 |
|
1,177 |
989 |
$2K |
| 99214 |
|
269 |
207 |
$2K |
| 0002A |
|
14 |
14 |
$1K |
| 0001A |
|
14 |
13 |
$796.94 |
| 85025 |
|
366 |
306 |
$497.64 |
| 36415 |
|
159 |
144 |
$433.60 |
| 96372 |
|
133 |
118 |
$197.69 |
| 83036 |
|
48 |
42 |
$99.93 |
| Q3014 |
Telehealth originating site facility fee |
29 |
28 |
$71.12 |
| 3074F |
|
1,065 |
887 |
$30.68 |
| 3079F |
|
610 |
513 |
$20.60 |
| 96127 |
|
106 |
97 |
$14.18 |
| 3078F |
|
878 |
727 |
$0.96 |
| 3075F |
|
381 |
329 |
$0.51 |
| 3077F |
|
15 |
12 |
$0.03 |
| 91300 |
|
29 |
27 |
$0.00 |
| 1159F |
|
96 |
86 |
$0.00 |
| 87804 |
|
49 |
29 |
$0.00 |
| 1160F |
|
96 |
87 |
$0.00 |
| 87400 |
|
20 |
17 |
$0.00 |
| 4004F |
|
28 |
25 |
$0.00 |
| 87880 |
|
16 |
16 |
$0.00 |
| 87430 |
|
115 |
103 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
26 |
24 |
$0.00 |
| 1034F |
|
13 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
22 |
12 |
$0.00 |