| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0031 |
Mental health assessment, by non-physician |
623 |
393 |
$93K |
| 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 |
2,216 |
1,867 |
$37K |
| D0999 |
Unspecified diagnostic procedure, by report |
169 |
167 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,194 |
1,123 |
$26K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
496 |
424 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
436 |
419 |
$6K |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$0.00 |