| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
20,824 |
15,123 |
$1.80M |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
3,086 |
2,090 |
$58K |
| 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 |
3,297 |
3,292 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,842 |
2,244 |
$37K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
186 |
174 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
69 |
63 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
71 |
53 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
364 |
312 |
$4K |
| 99381 |
|
157 |
121 |
$704.40 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
851 |
808 |
$47.04 |
| 90461 |
|
739 |
326 |
$0.00 |
| 99173 |
|
68 |
53 |
$0.00 |
| 96161 |
|
350 |
318 |
$0.00 |
| 90686 |
|
272 |
271 |
$0.00 |
| 92587 |
|
43 |
29 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
100 |
71 |
$0.00 |
| 90656 |
|
15 |
15 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
16 |
16 |
$0.00 |