| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,861 |
6,245 |
$1.18M |
| 87428 |
|
803 |
588 |
$37K |
| 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 |
834 |
621 |
$19K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
554 |
496 |
$18K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
62 |
54 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
553 |
483 |
$279.47 |
| 36415 |
Collection of venous blood by venipuncture |
613 |
544 |
$264.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
51 |
49 |
$213.28 |
| 90686 |
|
12 |
12 |
$177.54 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
231 |
171 |
$66.72 |
| Q3014 |
Telehealth originating site facility fee |
30 |
27 |
$50.80 |
| 81003 |
|
342 |
309 |
$40.64 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
423 |
384 |
$39.16 |
| 90656 |
|
28 |
22 |
$19.12 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
31 |
27 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
229 |
200 |
$0.00 |
| 87430 |
|
47 |
45 |
$0.00 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
77 |
75 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$0.00 |
| 1000F |
|
14 |
14 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
203 |
184 |
$0.00 |
| 81002 |
|
16 |
15 |
$0.00 |