| Code | Description | Claims | Beneficiaries | Total Paid |
| 00003 |
Internal/system code - not a standard HCPCS code |
14,568 |
10,006 |
$8.24M |
| T1015 |
Clinic visit/encounter, all-inclusive |
3,413 |
1,760 |
$2.11M |
| 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 |
13 |
12 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
45 |
39 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
21 |
21 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
306 |
255 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
377 |
201 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
62 |
58 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
24 |
21 |
$0.00 |