| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,334 |
10,338 |
$2.00M |
| 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 |
2,182 |
1,871 |
$56K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,617 |
1,479 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
526 |
507 |
$2K |
| 87428 |
|
47 |
27 |
$866.32 |
| 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 |
14 |
13 |
$322.47 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
31 |
16 |
$276.15 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
239 |
167 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
24 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
226 |
176 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
26 |
$0.00 |
| 90756 |
|
14 |
14 |
$0.00 |
| 91300 |
|
13 |
12 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,221 |
5,605 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
539 |
230 |
$0.00 |
| 90686 |
|
490 |
481 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,682 |
3,308 |
$0.00 |
| 99000 |
|
324 |
312 |
$0.00 |
| 94760 |
|
12 |
12 |
$0.00 |