| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
14,796 |
11,868 |
$2.30M |
| 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 |
4,483 |
3,164 |
$89K |
| 87428 |
|
1,104 |
738 |
$46K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
650 |
432 |
$31K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
605 |
507 |
$19K |
| 0002A |
|
115 |
113 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,047 |
3,068 |
$7K |
| 0001A |
|
93 |
92 |
$4K |
| 0071A |
|
48 |
41 |
$3K |
| 0072A |
|
17 |
17 |
$2K |
| 90686 |
|
125 |
119 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
22 |
15 |
$793.13 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
12 |
$507.69 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
221 |
176 |
$260.74 |
| Q3014 |
Telehealth originating site facility fee |
274 |
238 |
$220.98 |
| 0011A |
|
12 |
12 |
$147.00 |
| 81025 |
|
15 |
13 |
$63.21 |
| 90656 |
|
23 |
21 |
$47.80 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
15 |
13 |
$39.99 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
597 |
541 |
$22.50 |
| 36415 |
Collection of venous blood by venipuncture |
89 |
79 |
$15.00 |
| 81002 |
|
212 |
184 |
$6.31 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
61 |
56 |
$3.84 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
137 |
132 |
$0.11 |
| 82947 |
|
14 |
12 |
$0.00 |
| 3078F |
|
43 |
39 |
$0.00 |
| 1160F |
|
16 |
14 |
$0.00 |
| 1159F |
|
52 |
43 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
39 |
33 |
$0.00 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
108 |
102 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
114 |
107 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
177 |
125 |
$0.00 |
| 3079F |
|
16 |
12 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
49 |
42 |
$0.00 |
| 3074F |
|
43 |
39 |
$0.00 |
| 1000F |
|
25 |
15 |
$0.00 |