| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,865 |
5,113 |
$660K |
| 99199 |
Unlisted special service, procedure or report |
44,346 |
22,372 |
$353K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
732 |
663 |
$2K |
| 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 |
57 |
51 |
$620.68 |
| 82962 |
|
151 |
135 |
$452.47 |
| 3078F |
|
303 |
276 |
$0.01 |
| 3074F |
|
416 |
372 |
$0.01 |
| 3079F |
|
72 |
65 |
$0.00 |
| 3008F |
|
61 |
59 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
13 |
$0.00 |
| 90656 |
|
15 |
15 |
$0.00 |
| 3075F |
|
13 |
13 |
$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 |
52 |
51 |
$0.00 |