| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
10,001 |
7,790 |
$1.53M |
| 87428 |
|
563 |
276 |
$16K |
| 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 |
320 |
230 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
80 |
75 |
$3K |
| 90686 |
|
140 |
111 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,186 |
1,086 |
$642.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
122 |
100 |
$197.30 |
| Q3014 |
Telehealth originating site facility fee |
93 |
70 |
$193.04 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54 |
48 |
$147.95 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
18 |
13 |
$116.64 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$13.14 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
84 |
76 |
$8.16 |
| 81003 |
|
57 |
54 |
$2.78 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
18 |
18 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
15 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
44 |
39 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
34 |
32 |
$0.00 |
| 3078F |
|
146 |
136 |
$0.00 |
| 3077F |
|
36 |
34 |
$0.00 |
| 1159F |
|
168 |
157 |
$0.00 |
| 81002 |
|
44 |
39 |
$0.00 |
| 90674 |
|
17 |
16 |
$0.00 |
| 3074F |
|
236 |
218 |
$0.00 |
| 3079F |
|
85 |
78 |
$0.00 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
29 |
27 |
$0.00 |
| 90694 |
|
15 |
12 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
13 |
$0.00 |
| 3075F |
|
32 |
29 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
13 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
13 |
$0.00 |
| 3080F |
|
19 |
19 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
12 |
12 |
$0.00 |