| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
1,657 |
1,269 |
$39K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
397 |
224 |
$19K |
| 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 |
971 |
855 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
517 |
492 |
$979.68 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$157.91 |
| 90686 |
|
73 |
73 |
$0.00 |
| 96127 |
|
31 |
31 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
43 |
43 |
$0.00 |
| 92552 |
|
42 |
42 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
13 |
13 |
$0.00 |
| 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 |
17 |
17 |
$0.00 |
| 99173 |
|
49 |
49 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
154 |
153 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
96 |
96 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$0.00 |
| 90461 |
|
16 |
16 |
$0.00 |