| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
29,614 |
16,599 |
$2.17M |
| 90837 |
|
13,330 |
4,325 |
$496K |
| 90832 |
|
10,360 |
3,858 |
$219K |
| 99213 |
|
11,022 |
5,861 |
$210K |
| 90834 |
|
7,036 |
2,888 |
$200K |
| 99214 |
|
6,667 |
3,244 |
$169K |
| 99211 |
|
5,427 |
2,457 |
$28K |
| 90792 |
|
722 |
409 |
$26K |
| 90791 |
|
197 |
126 |
$12K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,062 |
905 |
$11K |
| 90833 |
|
908 |
372 |
$8K |
| 96372 |
|
1,064 |
532 |
$6K |
| 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 |
439 |
404 |
$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 |
1,497 |
687 |
$2K |
| 99215 |
Prolong outpt/office vis |
25 |
13 |
$910.78 |
| T2003 |
Non-emergency transportation; encounter/trip |
45 |
28 |
$513.04 |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
38 |
25 |
$267.13 |
| 99442 |
|
13 |
12 |
$126.54 |
| 3078F |
|
13 |
13 |
$0.00 |