| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,617 |
3,085 |
$459K |
| 99199 |
Unlisted special service, procedure or report |
54,686 |
20,186 |
$365K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
206 |
190 |
$993.40 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
26 |
12 |
$305.15 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
15 |
$218.55 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
222 |
201 |
$65.94 |
| 3074F |
|
237 |
227 |
$0.01 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
14 |
$0.00 |
| 3008F |
|
41 |
37 |
$0.00 |
| 3079F |
|
41 |
38 |
$0.00 |
| 3078F |
|
134 |
127 |
$0.00 |