| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,910 |
7,048 |
$785K |
| 99199 |
Unlisted special service, procedure or report |
34,038 |
13,558 |
$278K |
| 0012A |
|
39 |
35 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
350 |
326 |
$2K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
17 |
12 |
$2K |
| 0011A |
|
39 |
36 |
$2K |
| 82962 |
|
441 |
380 |
$1K |
| 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 |
16 |
14 |
$151.16 |
| 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 |
427 |
408 |
$132.96 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
367 |
337 |
$56.97 |
| 3079F |
|
34 |
26 |
$0.00 |
| 91301 |
|
93 |
87 |
$0.00 |
| 3074F |
|
122 |
110 |
$0.00 |
| 3008F |
|
15 |
15 |
$0.00 |
| 3078F |
|
97 |
86 |
$0.00 |