| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
27,336 |
17,219 |
$3.95M |
| 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 |
3,773 |
3,196 |
$131K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
691 |
445 |
$50K |
| 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 |
277 |
163 |
$8K |
| 90834 |
Psychotherapy, 45 minutes with patient |
6,637 |
4,037 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,320 |
10,199 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,271 |
1,995 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,263 |
3,858 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
951 |
764 |
$819.63 |
| 36415 |
Collection of venous blood by venipuncture |
977 |
922 |
$341.28 |
| 90837 |
Psychotherapy, 53 minutes with patient |
428 |
237 |
$230.21 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$89.00 |
| G0008 |
Administration of influenza virus vaccine |
61 |
56 |
$10.00 |
| 36416 |
|
124 |
119 |
$1.08 |
| 90688 |
|
183 |
174 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
779 |
755 |
$0.00 |
| 90656 |
|
31 |
31 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
169 |
150 |
$0.00 |
| 90715 |
|
40 |
37 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
106 |
97 |
$0.00 |
| 90662 |
|
12 |
12 |
$0.00 |
| 98927 |
|
115 |
94 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
31 |
28 |
$0.00 |