| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
878 |
749 |
$160K |
| 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 |
1,462 |
1,257 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
808 |
677 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,646 |
1,464 |
$18K |
| Q3014 |
Telehealth originating site facility fee |
218 |
154 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
272 |
237 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
123 |
91 |
$599.19 |
| 80305 |
|
235 |
184 |
$381.16 |
| 36415 |
Collection of venous blood by venipuncture |
230 |
228 |
$77.09 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
34 |
34 |
$32.53 |
| G0008 |
Administration of influenza virus vaccine |
34 |
34 |
$21.66 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$5.85 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
45 |
44 |
$2.50 |
| 80306 |
|
15 |
12 |
$0.00 |