| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
11,489 |
9,350 |
$1.78M |
| 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 |
3,053 |
2,326 |
$62K |
| 87428 |
|
954 |
723 |
$24K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
396 |
352 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,272 |
1,774 |
$3K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
49 |
39 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
949 |
792 |
$719.96 |
| 90686 |
|
26 |
26 |
$403.50 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
457 |
421 |
$361.81 |
| 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 |
39 |
38 |
$354.15 |
| 36415 |
Collection of venous blood by venipuncture |
824 |
766 |
$323.67 |
| 90656 |
|
20 |
20 |
$19.12 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
41 |
40 |
$16.06 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
163 |
150 |
$8.44 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
93 |
84 |
$7.68 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
130 |
122 |
$2.10 |
| 1160F |
|
99 |
93 |
$0.01 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
31 |
$0.00 |
| 1159F |
|
14 |
14 |
$0.00 |
| 4000F |
|
15 |
13 |
$0.00 |
| 87430 |
|
109 |
80 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
28 |
26 |
$0.00 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
13 |
13 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
12 |
12 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
14 |
14 |
$0.00 |
| 87807 |
|
13 |
12 |
$0.00 |
| 1000F |
|
13 |
12 |
$0.00 |