| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
82,361 |
29,862 |
$548K |
| T1015 |
Clinic visit/encounter, all-inclusive |
4,169 |
3,573 |
$478K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
271 |
238 |
$900.35 |
| 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 |
84 |
77 |
$773.38 |
| 82962 |
|
78 |
66 |
$227.80 |
| 81003 |
|
13 |
12 |
$34.32 |
| 3074F |
|
171 |
154 |
$0.00 |
| 1000F |
|
45 |
38 |
$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 |
13 |
12 |
$0.00 |
| 91301 |
|
19 |
15 |
$0.00 |
| 3079F |
|
17 |
14 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
12 |
$0.00 |
| 3078F |
|
91 |
84 |
$0.00 |