| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
4,912 |
4,059 |
$777K |
| 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 |
1,177 |
913 |
$25K |
| 87428 |
|
469 |
286 |
$16K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
135 |
123 |
$5K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
92 |
70 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
365 |
349 |
$228.00 |
| Q3014 |
Telehealth originating site facility fee |
101 |
93 |
$175.26 |
| 81003 |
|
355 |
331 |
$149.07 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
332 |
279 |
$132.48 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
157 |
141 |
$131.59 |
| 81002 |
|
127 |
115 |
$6.12 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
140 |
107 |
$0.00 |
| 1159F |
|
25 |
20 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
106 |
99 |
$0.00 |
| 3078F |
|
19 |
15 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
72 |
69 |
$0.00 |
| 87430 |
|
34 |
30 |
$0.00 |
| 3074F |
|
20 |
16 |
$0.00 |
| 1000F |
|
14 |
13 |
$0.00 |