| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
8,674 |
6,778 |
$1.31M |
| 87428 |
|
273 |
207 |
$14K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
104 |
91 |
$4K |
| 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 |
146 |
129 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
32 |
24 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
13 |
12 |
$2K |
| 90686 |
|
31 |
30 |
$349.62 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
77 |
71 |
$298.53 |
| 90734 |
|
18 |
18 |
$174.44 |
| 90651 |
|
12 |
12 |
$115.90 |
| Q3014 |
Telehealth originating site facility fee |
15 |
13 |
$17.98 |
| 1160F |
|
3,004 |
2,610 |
$0.29 |
| 1000F |
|
477 |
416 |
$0.13 |
| 3351F |
|
255 |
235 |
$0.01 |
| 1220F |
|
413 |
367 |
$0.01 |
| 1036F |
|
294 |
251 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
78 |
67 |
$0.00 |
| 3074F |
|
99 |
89 |
$0.00 |
| 4000F |
|
56 |
50 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
36 |
36 |
$0.00 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
18 |
16 |
$0.00 |
| 1034F |
|
14 |
13 |
$0.00 |
| 87430 |
|
15 |
12 |
$0.00 |
| 1159F |
|
637 |
545 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
94 |
87 |
$0.00 |
| 3078F |
|
79 |
71 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
68 |
63 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$0.00 |
| 81002 |
|
13 |
13 |
$0.00 |