| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
13,951 |
10,445 |
$880K |
| 99199 |
Unlisted special service, procedure or report |
66,824 |
26,545 |
$444K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
186 |
144 |
$5K |
| 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 |
144 |
83 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
213 |
161 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
27 |
13 |
$572.60 |
| 90686 |
|
111 |
72 |
$406.49 |
| 3078F |
|
2,953 |
2,333 |
$260.05 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
17 |
13 |
$81.73 |
| 90656 |
|
34 |
31 |
$79.18 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$13.30 |
| 3079F |
|
1,246 |
968 |
$5.49 |
| 3008F |
|
5,909 |
4,687 |
$1.88 |
| G9920 |
Screening performed and negative |
86 |
71 |
$0.00 |
| 3074F |
|
4,408 |
3,448 |
$0.00 |
| 85018 |
|
34 |
29 |
$0.00 |
| 99441 |
|
13 |
13 |
$0.00 |
| 99000 |
|
20 |
17 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
255 |
215 |
$0.00 |