| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,076 |
5,010 |
$1.00M |
| 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 |
1,475 |
1,128 |
$32K |
| 87428 |
|
562 |
407 |
$26K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
350 |
314 |
$13K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
29 |
26 |
$1K |
| 90686 |
|
32 |
32 |
$438.06 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,230 |
989 |
$153.38 |
| 90656 |
|
23 |
22 |
$76.48 |
| 36415 |
Collection of venous blood by venipuncture |
130 |
112 |
$45.00 |
| 81025 |
|
14 |
12 |
$27.09 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
51 |
41 |
$17.60 |
| Q3014 |
Telehealth originating site facility fee |
29 |
29 |
$10.16 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
260 |
239 |
$8.93 |
| 81003 |
|
28 |
25 |
$5.33 |
| 81002 |
|
72 |
59 |
$2.26 |
| 3078F |
|
194 |
175 |
$0.01 |
| 3074F |
|
200 |
180 |
$0.01 |
| 1160F |
|
76 |
64 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
25 |
$0.00 |
| 1036F |
|
83 |
68 |
$0.00 |
| 1034F |
|
16 |
13 |
$0.00 |
| 1000F |
|
82 |
66 |
$0.00 |
| 87430 |
|
12 |
12 |
$0.00 |
| 1220F |
|
12 |
12 |
$0.00 |