| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
21,758 |
17,782 |
$3.62M |
| 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 |
3,375 |
2,747 |
$70K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,077 |
983 |
$62K |
| 87428 |
|
609 |
562 |
$35K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
783 |
658 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,925 |
2,432 |
$5K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
213 |
212 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
469 |
409 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
36 |
34 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
51 |
39 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,148 |
1,050 |
$711.55 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,030 |
879 |
$578.30 |
| 81025 |
|
419 |
381 |
$568.89 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
612 |
566 |
$315.03 |
| 71046 |
Radiologic examination, chest; 2 views |
151 |
140 |
$312.41 |
| 99401 |
|
123 |
106 |
$297.50 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
214 |
203 |
$286.99 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
316 |
288 |
$214.83 |
| 81003 |
|
1,447 |
1,322 |
$185.77 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
25 |
25 |
$149.20 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
341 |
296 |
$109.22 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
737 |
662 |
$104.87 |
| 82947 |
|
146 |
133 |
$64.43 |
| Q3014 |
Telehealth originating site facility fee |
23 |
22 |
$58.42 |
| 99406 |
|
107 |
93 |
$46.85 |
| 87430 |
|
844 |
781 |
$37.59 |
| 3078F |
|
334 |
293 |
$0.05 |
| 3074F |
|
390 |
343 |
$0.01 |
| 3008F |
|
284 |
264 |
$0.01 |
| 2001F |
|
278 |
253 |
$0.01 |
| 80053 |
Comprehensive metabolic panel |
32 |
26 |
$0.00 |
| 87807 |
|
130 |
119 |
$0.00 |
| 3079F |
|
140 |
130 |
$0.00 |
| 3075F |
|
53 |
48 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| 1034F |
|
28 |
28 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$0.00 |
| 86703 |
|
59 |
56 |
$0.00 |
| 99307 |
|
134 |
134 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
58 |
52 |
$0.00 |
| 80305 |
|
42 |
37 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
27 |
27 |
$0.00 |
| 97803 |
|
65 |
60 |
$0.00 |
| 87400 |
|
29 |
27 |
$0.00 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
26 |
26 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
48 |
42 |
$0.00 |
| 1160F |
|
20 |
20 |
$0.00 |
| 1159F |
|
21 |
21 |
$0.00 |