| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
10,375 |
9,284 |
$1.75M |
| 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 |
2,551 |
2,257 |
$91K |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit |
2,455 |
1,228 |
$76K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
3,937 |
2,342 |
$54K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
230 |
230 |
$36K |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
266 |
214 |
$28K |
| 90682 |
|
466 |
466 |
$28K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,262 |
1,245 |
$7K |
| 90651 |
|
51 |
51 |
$4K |
| 0134A |
|
92 |
91 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
323 |
246 |
$4K |
| 90750 |
|
12 |
12 |
$2K |
| 99050 |
|
20 |
19 |
$995.22 |
| 90715 |
|
24 |
24 |
$764.78 |
| 90734 |
|
12 |
12 |
$736.45 |
| 90686 |
|
33 |
32 |
$589.93 |
| 0011A |
|
15 |
15 |
$508.20 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
133 |
131 |
$463.14 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
14 |
$331.49 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,397 |
1,292 |
$114.39 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |
| 91313 |
|
50 |
50 |
$0.00 |
| 91300 |
|
17 |
17 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
17 |
12 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,103 |
1,037 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
575 |
537 |
$0.00 |
| 91306 |
|
179 |
178 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$0.00 |
| 91301 |
|
328 |
314 |
$0.00 |