| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,835 |
5,831 |
$1.07M |
| 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 |
2,362 |
2,100 |
$47K |
| 87428 |
|
133 |
117 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
147 |
141 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
482 |
428 |
$758.47 |
| 90686 |
|
33 |
28 |
$416.88 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
295 |
273 |
$313.66 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
779 |
725 |
$251.32 |
| 36415 |
Collection of venous blood by venipuncture |
498 |
472 |
$120.00 |
| Q3014 |
Telehealth originating site facility fee |
39 |
30 |
$55.88 |
| S9470 |
Nutritional counseling, dietitian visit |
155 |
142 |
$31.37 |
| 82044 |
|
47 |
43 |
$22.67 |
| 80305 |
|
12 |
12 |
$22.55 |
| 90656 |
|
15 |
15 |
$9.56 |
| 81003 |
|
59 |
49 |
$7.72 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
351 |
323 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
41 |
39 |
$0.00 |
| 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 |
17 |
17 |
$0.00 |
| 99490 |
Ccm add 20min |
30 |
30 |
$0.00 |
| 81002 |
|
13 |
12 |
$0.00 |
| 1160F |
|
48 |
47 |
$0.00 |
| 1159F |
|
44 |
37 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$0.00 |