| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
117,650 |
81,807 |
$7.80M |
| 99199 |
Unlisted special service, procedure or report |
66,054 |
49,656 |
$296K |
| 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 |
1,513 |
1,328 |
$17K |
| 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 |
256 |
203 |
$5K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
354 |
308 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
288 |
272 |
$4K |
| G0469 |
Federally qualified health center (fqhc) visit, mental health, new patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between a new 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 mental health visit |
319 |
307 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
185 |
111 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
638 |
375 |
$3K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
3,693 |
2,940 |
$667.53 |
| 90834 |
Psychotherapy, 45 minutes with patient |
13 |
13 |
$146.74 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
211 |
188 |
$119.28 |
| 81002 |
|
14 |
14 |
$47.74 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
12 |
$17.14 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
279 |
262 |
$0.00 |
| 3074F |
|
383 |
367 |
$0.00 |
| 99349 |
|
29 |
26 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
23 |
23 |
$0.00 |
| 3078F |
|
327 |
316 |
$0.00 |
| J2426 |
Injection, paliperidone palmitate extended release (invega sustenna), 1 mg |
70 |
64 |
$0.00 |