| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,298 |
3,553 |
$696K |
| 87428 |
|
540 |
446 |
$30K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
122 |
116 |
$5K |
| 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 |
114 |
94 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
40 |
33 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
275 |
235 |
$297.17 |
| Q3014 |
Telehealth originating site facility fee |
170 |
149 |
$172.72 |
| 90686 |
|
13 |
13 |
$161.40 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
55 |
44 |
$3.80 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
86 |
74 |
$1.52 |
| 1159F |
|
133 |
130 |
$0.01 |
| 3079F |
|
37 |
31 |
$0.00 |
| 1000F |
|
245 |
201 |
$0.00 |
| 1036F |
|
108 |
86 |
$0.00 |
| 4000F |
|
50 |
42 |
$0.00 |
| 87430 |
|
68 |
63 |
$0.00 |
| 3074F |
|
149 |
131 |
$0.00 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
32 |
28 |
$0.00 |
| 1220F |
|
14 |
12 |
$0.00 |
| 1034F |
|
68 |
57 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
13 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$0.00 |
| 3078F |
|
106 |
93 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
35 |
30 |
$0.00 |