| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
18,755 |
16,104 |
$2.87M |
| 87428 |
|
1,325 |
1,089 |
$69K |
| 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 |
1,410 |
1,144 |
$31K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
566 |
535 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,619 |
1,356 |
$3K |
| 90686 |
|
143 |
138 |
$2K |
| 0002A |
|
18 |
18 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
14 |
$676.92 |
| 81025 |
|
183 |
136 |
$460.53 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
835 |
754 |
$313.49 |
| 36415 |
Collection of venous blood by venipuncture |
1,081 |
1,002 |
$165.00 |
| Q3014 |
Telehealth originating site facility fee |
43 |
41 |
$81.28 |
| 90656 |
|
30 |
28 |
$28.68 |
| 87430 |
|
242 |
223 |
$26.38 |
| 81003 |
|
321 |
289 |
$10.70 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,020 |
960 |
$2.25 |
| 81002 |
|
282 |
263 |
$1.40 |
| 1160F |
|
16 |
15 |
$0.01 |
| 1220F |
|
97 |
87 |
$0.00 |
| 1036F |
|
171 |
152 |
$0.00 |
| 1111F |
|
37 |
37 |
$0.00 |
| 3074F |
|
140 |
132 |
$0.00 |
| 1000F |
|
216 |
196 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| 4000F |
|
242 |
229 |
$0.00 |
| 1034F |
|
95 |
82 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
15 |
14 |
$0.00 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
26 |
25 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
16 |
15 |
$0.00 |
| 99441 |
|
14 |
13 |
$0.00 |
| 3078F |
|
116 |
107 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
558 |
531 |
$0.00 |
| 1159F |
|
69 |
67 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
30 |
30 |
$0.00 |
| 82947 |
|
16 |
14 |
$0.00 |