| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
21,641 |
17,001 |
$4.34M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,206 |
5,233 |
$345.23 |
| 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 |
2,540 |
2,220 |
$120.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,551 |
1,047 |
$118.22 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,475 |
3,965 |
$82.13 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
425 |
391 |
$0.00 |
| 90656 |
|
127 |
121 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
54 |
53 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
14 |
$0.00 |
| 90686 |
|
73 |
66 |
$0.00 |
| 0011A |
|
75 |
75 |
$0.00 |
| D0999 |
Unspecified diagnostic procedure, by report |
94 |
91 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
836 |
485 |
$0.00 |
| 91301 |
|
92 |
89 |
$0.00 |
| 0012A |
|
52 |
51 |
$0.00 |
| 90480 |
|
14 |
13 |
$0.00 |
| 90662 |
|
237 |
190 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
828 |
713 |
$0.00 |
| 91322 |
|
14 |
13 |
$0.00 |
| D2999 |
|
57 |
52 |
$0.00 |
| 0124A |
|
14 |
14 |
$0.00 |
| 91312 |
|
14 |
14 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
25 |
25 |
$0.00 |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
27 |
13 |
$0.00 |