| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
3,701 |
3,332 |
$748K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,089 |
1,004 |
$250.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,171 |
1,076 |
$0.00 |
| 3008F |
|
1,128 |
1,079 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,355 |
1,314 |
$0.00 |
| 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 |
159 |
153 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
130 |
119 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
180 |
173 |
$0.00 |