| Code | Description | Claims | Bene. Records | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
5,169 |
4,285 |
$825K |
| 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 |
1,410 |
1,050 |
$31K |
| 87428 |
|
584 |
454 |
$30K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
172 |
150 |
$6K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
23 |
20 |
$922.70 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
275 |
241 |
$350.81 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
712 |
585 |
$290.55 |
| 36415 |
Collection of venous blood by venipuncture |
139 |
124 |
$270.00 |
| 90686 |
|
17 |
17 |
$258.24 |
| Q3014 |
Telehealth originating site facility fee |
36 |
35 |
$71.12 |
| 1000F |
|
208 |
175 |
$0.01 |
| 3078F |
|
89 |
82 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
300 |
267 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
205 |
187 |
$0.00 |
| 1159F |
|
31 |
28 |
$0.00 |
| 1036F |
|
127 |
117 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
58 |
52 |
$0.00 |
| 1220F |
|
183 |
168 |
$0.00 |
| 1034F |
|
72 |
66 |
$0.00 |
| 4000F |
|
14 |
13 |
$0.00 |
| 3074F |
|
139 |
127 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
79 |
67 |
$0.00 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
45 |
37 |
$0.00 |