| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
31,301 |
19,051 |
$6.30M |
| 90834 |
Psychotherapy, 45 minutes with patient |
10,424 |
2,515 |
$287K |
| G9012 |
Other specified case management service not elsewhere classified |
933 |
539 |
$214K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,211 |
5,629 |
$167K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,583 |
6,630 |
$57K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,822 |
814 |
$44K |
| 90791 |
Psychiatric diagnostic evaluation |
213 |
100 |
$10K |
| 99205 |
Prolong outpt/office vis |
143 |
95 |
$9K |
| 90837 |
Psychotherapy, 53 minutes with patient |
211 |
71 |
$7K |
| 99215 |
Prolong outpt/office vis |
641 |
385 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,432 |
1,572 |
$4K |
| 0011A |
|
84 |
47 |
$2K |
| 0012A |
|
75 |
54 |
$880.01 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
24 |
12 |
$659.76 |
| 90655 |
|
36 |
26 |
$640.71 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
44 |
25 |
$591.48 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,339 |
1,031 |
$335.94 |
| 0013A |
|
12 |
12 |
$320.00 |
| 90653 |
|
13 |
12 |
$275.00 |
| 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 |
1,256 |
972 |
$245.47 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
21 |
13 |
$114.40 |
| 86580 |
|
21 |
12 |
$26.88 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
32 |
24 |
$24.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
37 |
26 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
24 |
$0.00 |
| 91301 |
|
67 |
57 |
$0.00 |
| 91300 |
|
31 |
31 |
$0.00 |
| 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 |
99 |
38 |
$0.00 |
| 3078F |
|
13 |
13 |
$0.00 |