| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
17,423 |
12,034 |
$3.31M |
| 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 |
1,421 |
1,156 |
$83K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,358 |
6,459 |
$60K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,561 |
4,738 |
$34K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
734 |
552 |
$33K |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,022 |
1,317 |
$31K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
441 |
410 |
$15K |
| 99215 |
Prolong outpt/office vis |
359 |
329 |
$6K |
| 90834 |
Psychotherapy, 45 minutes with patient |
736 |
427 |
$5K |
| G0008 |
Administration of influenza virus vaccine |
247 |
219 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
156 |
101 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
75 |
64 |
$694.15 |
| 99000 |
|
171 |
159 |
$617.22 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
130 |
127 |
$401.16 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
77 |
61 |
$306.82 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
326 |
314 |
$101.92 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
38 |
38 |
$17.10 |
| 99422 |
|
13 |
13 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
202 |
188 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 99423 |
|
18 |
17 |
$0.00 |
| 99421 |
|
16 |
16 |
$0.00 |
| 90461 |
|
47 |
36 |
$0.00 |
| 90611 |
|
13 |
13 |
$0.00 |