| Code | Description | Claims | Beneficiaries | Total Paid |
| 1160F |
|
721 |
692 |
$0.00 |
| 1159F |
|
721 |
692 |
$0.00 |
| 3078F |
|
403 |
391 |
$0.00 |
| 3725F |
|
38 |
38 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
51 |
49 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
25 |
$0.00 |
| 96160 |
|
52 |
52 |
$0.00 |
| 3074F |
|
441 |
430 |
$0.00 |
| 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 |
1,562 |
1,489 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
633 |
614 |
$0.00 |
| 3079F |
|
56 |
55 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
31 |
31 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
74 |
73 |
$0.00 |
| 96127 |
|
39 |
39 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |