| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,652 |
9,716 |
$2.35M |
| 99199 |
Unlisted special service, procedure or report |
47,208 |
23,781 |
$279K |
| 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 |
855 |
623 |
$15K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
273 |
210 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
30 |
25 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
171 |
157 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
12 |
$920.80 |
| 82962 |
|
189 |
175 |
$651.19 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
143 |
135 |
$497.88 |
| 36415 |
Collection of venous blood by venipuncture |
177 |
157 |
$433.68 |
| 90686 |
|
38 |
37 |
$314.64 |
| 90656 |
|
32 |
30 |
$119.51 |
| 81002 |
|
13 |
13 |
$44.69 |
| 99173 |
|
14 |
12 |
$16.54 |
| 3078F |
|
185 |
161 |
$0.00 |
| 3008F |
|
314 |
288 |
$0.00 |
| 99000 |
|
191 |
173 |
$0.00 |
| 3074F |
|
174 |
155 |
$0.00 |
| 3044F |
|
13 |
13 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
14 |
14 |
$0.00 |