| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,095 |
6,240 |
$654K |
| 99199 |
Unlisted special service, procedure or report |
35,339 |
13,953 |
$269K |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
231 |
189 |
$3K |
| 82962 |
|
583 |
500 |
$1K |
| 0011A |
|
26 |
26 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
67 |
64 |
$219.88 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
19 |
14 |
$56.92 |
| 3078F |
|
40 |
38 |
$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 |
297 |
287 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
343 |
326 |
$0.00 |
| 3074F |
|
111 |
107 |
$0.00 |
| 3008F |
|
28 |
25 |
$0.00 |
| 91301 |
|
53 |
48 |
$0.00 |