| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,324 |
4,202 |
$805K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,904 |
1,881 |
$175.00 |
| 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 |
308 |
305 |
$0.00 |
| 3008F |
|
1,330 |
1,309 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,875 |
1,824 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,179 |
1,168 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
27 |
27 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
59 |
56 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
27 |
$0.00 |