| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
8,076 |
6,000 |
$709K |
| 99199 |
Unlisted special service, procedure or report |
37,967 |
20,296 |
$214K |
| 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 |
149 |
127 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
428 |
373 |
$3K |
| 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 |
111 |
94 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,878 |
1,379 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
174 |
103 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
59 |
49 |
$346.49 |
| 82948 |
|
83 |
72 |
$233.74 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
76 |
62 |
$136.69 |
| 81003 |
|
66 |
58 |
$125.83 |
| 92551 |
|
12 |
12 |
$54.89 |
| 81002 |
|
12 |
12 |
$27.02 |
| 3078F |
|
1,825 |
1,453 |
$2.27 |
| 3074F |
|
1,549 |
1,221 |
$2.21 |
| 1126F |
|
1,383 |
1,096 |
$1.91 |
| 1125F |
|
793 |
655 |
$1.08 |
| 3008F |
|
3,188 |
2,489 |
$0.32 |
| 3075F |
|
192 |
156 |
$0.26 |
| 3079F |
|
193 |
161 |
$0.26 |
| 3044F |
|
109 |
87 |
$0.06 |
| 1000F |
|
3,592 |
2,706 |
$0.01 |
| 1220F |
|
2,579 |
1,998 |
$0.00 |
| 2000F |
|
2,584 |
2,029 |
$0.00 |
| 1101F |
|
24 |
24 |
$0.00 |
| 2001F |
|
2,496 |
1,962 |
$0.00 |
| 90686 |
|
26 |
22 |
$0.00 |
| 3351F |
|
958 |
669 |
$0.00 |
| 99173 |
|
13 |
12 |
$0.00 |