| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
17,982 |
14,887 |
$2.79M |
| 87428 |
|
1,937 |
1,518 |
$92K |
| 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 |
3,175 |
2,410 |
$62K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
816 |
740 |
$31K |
| 0002A |
|
32 |
32 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,459 |
1,326 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,944 |
1,587 |
$2K |
| 90686 |
|
142 |
127 |
$2K |
| 0001A |
|
29 |
29 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,818 |
1,581 |
$1K |
| 0012A |
|
28 |
28 |
$966.21 |
| 0011A |
|
37 |
37 |
$966.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
31 |
18 |
$913.12 |
| 81025 |
|
214 |
165 |
$478.59 |
| 90734 |
|
28 |
25 |
$315.36 |
| 90661 |
|
16 |
14 |
$214.29 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
377 |
336 |
$124.56 |
| Q3014 |
Telehealth originating site facility fee |
87 |
59 |
$93.98 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
173 |
158 |
$56.71 |
| 90656 |
|
30 |
30 |
$38.24 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
521 |
479 |
$23.94 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
573 |
516 |
$19.24 |
| 81003 |
|
339 |
301 |
$16.01 |
| 81002 |
|
392 |
347 |
$15.08 |
| 87430 |
|
422 |
375 |
$13.11 |
| 82947 |
|
107 |
98 |
$9.51 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
520 |
489 |
$7.72 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
421 |
386 |
$3.84 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
877 |
814 |
$3.63 |
| 1000F |
|
1,105 |
977 |
$0.14 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
449 |
418 |
$0.05 |
| 1220F |
|
228 |
208 |
$0.01 |
| 3075F |
|
106 |
97 |
$0.01 |
| 3079F |
|
479 |
441 |
$0.01 |
| 1034F |
|
368 |
328 |
$0.01 |
| 1160F |
|
217 |
204 |
$0.01 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
17 |
14 |
$0.00 |
| 3074F |
|
1,269 |
1,142 |
$0.00 |
| 1036F |
|
381 |
339 |
$0.00 |
| 3080F |
|
113 |
108 |
$0.00 |
| 4000F |
|
92 |
88 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
31 |
29 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
14 |
13 |
$0.00 |
| 3078F |
|
948 |
845 |
$0.00 |
| 3077F |
|
171 |
158 |
$0.00 |
| 1159F |
|
531 |
467 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
24 |
12 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
15 |
12 |
$0.00 |