| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
52,947 |
42,114 |
$8.72M |
| 99199 |
Unlisted special service, procedure or report |
296,666 |
156,291 |
$1.72M |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,988 |
1,487 |
$44K |
| 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 |
2,545 |
1,881 |
$42K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,201 |
1,924 |
$20K |
| 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 |
2,465 |
1,971 |
$19K |
| 97802 |
|
783 |
630 |
$13K |
| 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 |
799 |
657 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
177 |
144 |
$11K |
| 82962 |
|
3,793 |
3,243 |
$10K |
| 0012A |
|
183 |
170 |
$8K |
| 0011A |
|
188 |
170 |
$6K |
| 81025 |
|
839 |
709 |
$5K |
| 99401 |
|
355 |
191 |
$4K |
| 0071A |
|
73 |
53 |
$3K |
| 0064A |
|
64 |
41 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
44 |
33 |
$2K |
| 0072A |
|
42 |
31 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
62 |
57 |
$2K |
| 81002 |
|
819 |
718 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
579 |
462 |
$2K |
| 90677 |
|
17 |
15 |
$1K |
| 90686 |
|
142 |
117 |
$735.83 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
44 |
41 |
$552.34 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
134 |
128 |
$448.16 |
| 90656 |
|
101 |
84 |
$442.51 |
| 90480 |
|
34 |
29 |
$325.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
35 |
28 |
$275.55 |
| 97803 |
|
19 |
15 |
$250.66 |
| 99385 |
|
28 |
16 |
$193.66 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$174.84 |
| 3078F |
|
152 |
136 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
16 |
14 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
16 |
$0.00 |
| 3077F |
|
16 |
16 |
$0.00 |
| 3008F |
|
615 |
543 |
$0.00 |
| 3074F |
|
298 |
257 |
$0.00 |
| 3044F |
|
87 |
79 |
$0.00 |
| 99422 |
|
29 |
29 |
$0.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
24 |
15 |
$0.00 |
| 91301 |
|
327 |
280 |
$0.00 |
| 91307 |
|
107 |
71 |
$0.00 |
| 36416 |
|
18 |
15 |
$0.00 |
| 91306 |
|
62 |
39 |
$0.00 |
| 99000 |
|
18 |
15 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
33 |
31 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
84 |
71 |
$0.00 |
| 3079F |
|
40 |
33 |
$0.00 |
| 3080F |
|
14 |
14 |
$0.00 |