| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
56,317 |
38,725 |
$5.86M |
| 99213 |
|
89,565 |
42,394 |
$904K |
| 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 |
596 |
338 |
$33K |
| 99214 |
|
2,010 |
1,185 |
$32K |
| 99203 |
|
897 |
611 |
$24K |
| 99215 |
Prolong outpt/office vis |
535 |
293 |
$9K |
| 96372 |
|
293 |
270 |
$4K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
94 |
78 |
$1K |
| 99392 |
|
56 |
27 |
$534.69 |
| 99072 |
|
5,601 |
4,721 |
$474.72 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
12 |
12 |
$186.58 |
| 81025 |
|
65 |
65 |
$109.20 |
| 81002 |
|
56 |
51 |
$109.02 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
12 |
$108.20 |
| 90674 |
|
15 |
15 |
$100.00 |
| 94640 |
|
14 |
12 |
$90.09 |
| 99000 |
|
32 |
32 |
$35.91 |
| 87481 |
|
46 |
46 |
$0.12 |
| 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 |
12 |
12 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
14 |
14 |
$0.00 |
| 99499 |
|
48 |
48 |
$0.00 |
| 82962 |
|
37 |
31 |
$0.00 |
| 3074F |
|
13 |
12 |
$0.00 |