| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
8,615 |
7,335 |
$1.36M |
| 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 |
3,222 |
2,513 |
$64K |
| 87428 |
|
781 |
608 |
$39K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
361 |
344 |
$13K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
152 |
135 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
68 |
26 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,817 |
1,528 |
$1K |
| 90686 |
|
56 |
53 |
$753.06 |
| 36415 |
Collection of venous blood by venipuncture |
465 |
423 |
$622.63 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$610.10 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
528 |
467 |
$487.77 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
515 |
458 |
$83.96 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
56 |
56 |
$50.25 |
| 90656 |
|
13 |
12 |
$38.24 |
| 81003 |
|
88 |
73 |
$19.10 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
286 |
259 |
$4.55 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
334 |
314 |
$2.25 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
72 |
68 |
$0.81 |
| 1000F |
|
187 |
164 |
$0.10 |
| 3079F |
|
104 |
98 |
$0.01 |
| 3077F |
|
61 |
55 |
$0.01 |
| 3074F |
|
395 |
363 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
80 |
77 |
$0.00 |
| 3080F |
|
34 |
29 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
34 |
27 |
$0.00 |
| 1034F |
|
13 |
13 |
$0.00 |
| 85018 |
|
21 |
17 |
$0.00 |
| 1220F |
|
46 |
42 |
$0.00 |
| 1036F |
|
67 |
62 |
$0.00 |
| 87430 |
|
13 |
13 |
$0.00 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
19 |
19 |
$0.00 |
| 3075F |
|
15 |
15 |
$0.00 |
| 3078F |
|
330 |
306 |
$0.00 |
| 1159F |
|
18 |
17 |
$0.00 |