| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,102 |
3,963 |
$891K |
| 99199 |
Unlisted special service, procedure or report |
12,723 |
7,913 |
$75K |
| 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 |
363 |
277 |
$8K |
| 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 |
180 |
110 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
112 |
94 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
60 |
51 |
$679.95 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
15 |
14 |
$112.82 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
192 |
175 |
$85.85 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
179 |
153 |
$56.97 |
| 36415 |
Collection of venous blood by venipuncture |
44 |
40 |
$47.10 |
| 90686 |
|
15 |
13 |
$39.12 |
| 96127 |
|
318 |
175 |
$29.75 |
| 96160 |
|
72 |
48 |
$25.02 |
| 99000 |
|
981 |
765 |
$0.85 |
| 3078F |
|
418 |
359 |
$0.16 |
| 3074F |
|
395 |
343 |
$0.11 |
| 1036F |
|
200 |
162 |
$0.00 |
| 3008F |
|
295 |
254 |
$0.00 |
| 1034F |
|
30 |
27 |
$0.00 |
| 91301 |
|
15 |
13 |
$0.00 |
| 3079F |
|
15 |
12 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
24 |
19 |
$0.00 |
| 3725F |
|
145 |
120 |
$0.00 |