| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
8,502 |
6,532 |
$944K |
| 99199 |
Unlisted special service, procedure or report |
43,570 |
22,379 |
$263K |
| 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 |
1,112 |
788 |
$17K |
| 99490 |
Ccm add 20min |
113 |
113 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
266 |
222 |
$2K |
| 87428 |
|
29 |
12 |
$929.92 |
| 82962 |
|
337 |
282 |
$894.68 |
| 0011A |
|
15 |
15 |
$398.58 |
| 36415 |
Collection of venous blood by venipuncture |
147 |
121 |
$376.65 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$166.86 |
| 81003 |
|
46 |
42 |
$97.14 |
| 96127 |
|
63 |
57 |
$0.25 |
| 3078F |
|
13 |
12 |
$0.00 |
| 80061 |
Lipid panel |
16 |
13 |
$0.00 |
| 99000 |
|
70 |
66 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
16 |
13 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
13 |
12 |
$0.00 |
| 99406 |
|
28 |
25 |
$0.00 |
| 82043 |
|
13 |
12 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
13 |
12 |
$0.00 |
| 91301 |
|
30 |
30 |
$0.00 |