| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,832 |
4,130 |
$512K |
| 99199 |
Unlisted special service, procedure or report |
45,766 |
19,235 |
$318K |
| Q3014 |
Telehealth originating site facility fee |
852 |
702 |
$10K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
58 |
37 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
177 |
149 |
$568.39 |
| 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 |
67 |
46 |
$562.86 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
25 |
$345.00 |
| 81025 |
|
28 |
28 |
$118.53 |
| 82962 |
|
28 |
26 |
$67.03 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
203 |
193 |
$7.78 |
| 99173 |
|
43 |
40 |
$0.00 |
| 3074F |
|
26 |
24 |
$0.00 |
| 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 |
130 |
129 |
$0.00 |