| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
19,659 |
16,091 |
$1.73M |
| 99199 |
Unlisted special service, procedure or report |
57,341 |
38,079 |
$332K |
| 99490 |
Ccm add 20min |
1,626 |
1,603 |
$22K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,798 |
1,596 |
$13K |
| 82962 |
|
3,745 |
3,200 |
$8K |
| 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 |
378 |
322 |
$5K |
| 99401 |
|
287 |
167 |
$4K |
| 87428 |
|
50 |
44 |
$3K |
| 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 |
351 |
348 |
$3K |
| 81003 |
|
860 |
732 |
$2K |
| 0012A |
|
28 |
28 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
299 |
260 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
109 |
57 |
$2K |
| 81025 |
|
179 |
146 |
$1K |
| 0011A |
|
37 |
31 |
$929.40 |
| 96127 |
|
727 |
615 |
$768.86 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
50 |
40 |
$589.39 |
| 90686 |
|
206 |
180 |
$581.96 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
46 |
29 |
$244.62 |
| 92551 |
|
49 |
47 |
$174.67 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
48 |
38 |
$85.70 |
| 90656 |
|
60 |
59 |
$60.61 |
| 90674 |
|
41 |
38 |
$46.54 |
| 99406 |
|
71 |
58 |
$12.04 |
| 3078F |
|
898 |
843 |
$0.00 |
| 3077F |
|
18 |
15 |
$0.00 |
| 99173 |
|
46 |
45 |
$0.00 |
| 3046F |
|
16 |
12 |
$0.00 |
| 3074F |
|
754 |
710 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
96 |
93 |
$0.00 |
| 3044F |
|
148 |
139 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
151 |
148 |
$0.00 |
| 91301 |
|
106 |
97 |
$0.00 |
| 3075F |
|
16 |
12 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
13 |
13 |
$0.00 |
| 3079F |
|
21 |
15 |
$0.00 |