| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
30,217 |
25,247 |
$1.63M |
| 99199 |
Unlisted special service, procedure or report |
43,313 |
27,350 |
$237K |
| 87428 |
|
454 |
329 |
$16K |
| 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 |
366 |
303 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
830 |
757 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
243 |
175 |
$872.97 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
86 |
73 |
$824.74 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
64 |
49 |
$815.19 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
12 |
$784.02 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
22 |
13 |
$649.73 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
46 |
13 |
$561.78 |
| 81003 |
|
87 |
78 |
$259.86 |
| 90686 |
|
38 |
32 |
$162.81 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
14 |
$56.97 |
| 85018 |
|
12 |
12 |
$12.90 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
14 |
14 |
$0.00 |