| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,907 |
5,264 |
$942K |
| 0064A |
|
25 |
25 |
$575.00 |
| 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 |
514 |
457 |
$464.06 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
148 |
135 |
$267.52 |
| 0011A |
|
59 |
59 |
$15.00 |
| 3008F |
|
4,148 |
3,829 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
668 |
662 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
329 |
318 |
$0.00 |
| 99406 |
|
801 |
749 |
$0.00 |
| 0012A |
|
65 |
65 |
$0.00 |
| 3074F |
|
392 |
383 |
$0.00 |
| 3079F |
|
67 |
67 |
$0.00 |
| 92551 |
|
12 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
12 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 3078F |
|
326 |
319 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
49 |
48 |
$0.00 |