| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
733 |
673 |
$165K |
| 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 |
406 |
348 |
$1K |
| 0011A |
|
206 |
111 |
$440.44 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
221 |
195 |
$262.29 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
321 |
285 |
$61.80 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
106 |
101 |
$51.33 |
| 99173 |
|
18 |
18 |
$2.89 |
| 1003F |
|
30 |
29 |
$0.00 |
| 96158 |
|
18 |
18 |
$0.00 |
| 1159F |
|
53 |
50 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
18 |
18 |
$0.00 |
| 1158F |
|
63 |
63 |
$0.00 |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
222 |
207 |
$0.00 |
| 91301 |
|
67 |
63 |
$0.00 |
| 0012A |
|
78 |
42 |
$0.00 |
| 92551 |
|
19 |
19 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
21 |
$0.00 |
| 1220F |
|
27 |
27 |
$0.00 |