| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
2,710 |
2,023 |
$727K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
954 |
746 |
$4K |
| 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 |
85 |
77 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
227 |
185 |
$208.10 |
| 99215 |
Prolong outpt/office vis |
109 |
80 |
$92.73 |
| 90837 |
Psychotherapy, 53 minutes with patient |
21 |
12 |
$0.00 |