| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
27,736 |
21,592 |
$4.66M |
| 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 |
2,800 |
2,331 |
$55K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
710 |
659 |
$30K |
| 87428 |
|
463 |
416 |
$22K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
853 |
789 |
$20K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
106 |
96 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,162 |
2,596 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
71 |
62 |
$3K |
| 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 |
257 |
243 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
42 |
34 |
$2K |
| 0001A |
|
42 |
41 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
261 |
241 |
$2K |
| 81025 |
|
583 |
484 |
$1K |
| 0002A |
|
14 |
14 |
$980.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,404 |
1,268 |
$725.07 |
| 99401 |
|
395 |
332 |
$714.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
444 |
403 |
$566.58 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
695 |
573 |
$290.77 |
| 81003 |
|
4,066 |
3,039 |
$267.15 |
| Q3014 |
Telehealth originating site facility fee |
106 |
93 |
$223.52 |
| 90686 |
|
14 |
14 |
$216.30 |
| 90734 |
|
15 |
13 |
$144.54 |
| 59025 |
Fetal non-stress test |
19 |
12 |
$127.23 |
| 90688 |
|
12 |
12 |
$92.70 |
| 90715 |
|
21 |
15 |
$91.98 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
191 |
158 |
$52.56 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
282 |
251 |
$27.70 |
| 80305 |
|
374 |
350 |
$20.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
36 |
27 |
$13.06 |
| 36415 |
Collection of venous blood by venipuncture |
330 |
287 |
$12.38 |
| 3044F |
|
64 |
58 |
$0.01 |
| 87210 |
|
84 |
80 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
240 |
235 |
$0.00 |
| 91300 |
|
24 |
22 |
$0.00 |
| 87400 |
|
15 |
13 |
$0.00 |
| 3078F |
|
59 |
56 |
$0.00 |
| 90746 |
|
27 |
26 |
$0.00 |
| 97803 |
|
192 |
179 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
65 |
55 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
34 |
25 |
$0.00 |
| 3074F |
|
61 |
55 |
$0.00 |
| 87430 |
|
455 |
409 |
$0.00 |
| 87807 |
|
208 |
193 |
$0.00 |
| 96127 |
|
14 |
14 |
$0.00 |
| 1034F |
|
29 |
28 |
$0.00 |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
90 |
82 |
$0.00 |
| 3075F |
|
13 |
12 |
$0.00 |
| 82951 |
|
17 |
14 |
$0.00 |