| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
8,476 |
6,553 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,290 |
1,621 |
$16K |
| 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 |
934 |
771 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
15 |
$674.96 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
67 |
31 |
$386.88 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
539 |
478 |
$205.95 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
254 |
232 |
$81.16 |
| 36415 |
Collection of venous blood by venipuncture |
661 |
602 |
$75.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
272 |
257 |
$52.22 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
433 |
304 |
$10.70 |
| 81003 |
|
335 |
302 |
$9.49 |
| 81025 |
|
1,024 |
893 |
$8.09 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
174 |
156 |
$0.96 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
783 |
340 |
$0.00 |
| 82044 |
|
30 |
30 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
69 |
59 |
$0.00 |
| 3079F |
|
53 |
49 |
$0.00 |
| 90674 |
|
20 |
20 |
$0.00 |
| 87428 |
|
283 |
267 |
$0.00 |
| 1220F |
|
121 |
107 |
$0.00 |
| 4000F |
|
92 |
83 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
55 |
54 |
$0.00 |
| 1000F |
|
159 |
137 |
$0.00 |
| 1036F |
|
110 |
99 |
$0.00 |
| 3074F |
|
144 |
135 |
$0.00 |
| 90688 |
|
15 |
12 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
75 |
43 |
$0.00 |
| 1034F |
|
88 |
77 |
$0.00 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
34 |
34 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
15 |
14 |
$0.00 |
| 99441 |
|
33 |
33 |
$0.00 |
| 90686 |
|
77 |
76 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$0.00 |
| 3080F |
|
13 |
12 |
$0.00 |
| 87081 |
|
14 |
12 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
45 |
43 |
$0.00 |
| 3078F |
|
99 |
91 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
118 |
102 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
257 |
220 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
144 |
135 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
181 |
168 |
$0.00 |
| 1160F |
|
368 |
289 |
$0.00 |
| 99490 |
Ccm add 20min |
53 |
53 |
$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 |
80 |
75 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
266 |
227 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
249 |
233 |
$0.00 |
| 80305 |
|
84 |
43 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
84 |
77 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
130 |
126 |
$0.00 |
| 90670 |
|
59 |
50 |
$0.00 |
| 1159F |
|
98 |
96 |
$0.00 |
| 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 |
56 |
15 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
159 |
119 |
$0.00 |
| 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 |
17 |
17 |
$0.00 |
| 3077F |
|
27 |
26 |
$0.00 |
| 82947 |
|
36 |
35 |
$0.00 |
| 81002 |
|
13 |
12 |
$0.00 |
| 99382 |
|
14 |
14 |
$0.00 |