| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
4,356 |
4,055 |
$766K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
909 |
884 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,646 |
2,491 |
$125.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
98 |
96 |
$75.00 |
| 3008F |
|
2,295 |
2,199 |
$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 |
245 |
230 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
41 |
40 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
48 |
44 |
$0.00 |