| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
25,075 |
20,968 |
$5.14M |
| 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 |
2,893 |
2,230 |
$353K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,012 |
13,430 |
$150K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,695 |
5,039 |
$69K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,213 |
2,139 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,057 |
1,006 |
$7K |
| 99215 |
Prolong outpt/office vis |
241 |
237 |
$2K |
| 97802 |
|
173 |
173 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
37 |
37 |
$897.36 |
| 97803 |
|
196 |
189 |
$731.08 |
| 87081 |
|
179 |
178 |
$68.16 |
| 85018 |
|
128 |
128 |
$37.07 |
| 3079F |
|
146 |
140 |
$0.00 |
| 90657 |
|
72 |
72 |
$0.00 |
| 3074F |
|
1,162 |
1,094 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
456 |
432 |
$0.00 |
| 3075F |
|
80 |
78 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$0.00 |
| Z7610 |
|
71 |
70 |
$0.00 |
| 99441 |
|
14 |
14 |
$0.00 |
| 90656 |
|
16 |
16 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
329 |
324 |
$0.00 |
| 3077F |
|
39 |
37 |
$0.00 |
| 3078F |
|
1,245 |
1,172 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
115 |
112 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$0.00 |
| 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 |
24 |
24 |
$0.00 |
| 99442 |
|
28 |
27 |
$0.00 |