| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,710 |
1,364 |
$251K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
28 |
21 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
21 |
17 |
$496.64 |
| 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 |
17 |
12 |
$470.71 |
| 36415 |
Collection of venous blood by venipuncture |
196 |
177 |
$225.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$33.36 |
| Q3014 |
Telehealth originating site facility fee |
18 |
15 |
$15.24 |
| 81003 |
|
21 |
16 |
$10.78 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
15 |
13 |
$0.00 |