| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,386 |
3,620 |
$207K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,270 |
1,068 |
$81K |
| T1015 |
Clinic visit/encounter, all-inclusive |
4,446 |
3,673 |
$34K |
| 87428 |
|
107 |
97 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
116 |
86 |
$3K |
| 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 |
137 |
95 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
462 |
353 |
$1K |
| 90686 |
|
131 |
97 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
54 |
40 |
$699.45 |
| 90688 |
|
27 |
24 |
$358.21 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
25 |
$325.36 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
12 |
$324.00 |
| 81003 |
|
12 |
12 |
$24.30 |
| 3078F |
|
46 |
46 |
$0.00 |
| 1036F |
|
34 |
33 |
$0.00 |
| 3008F |
|
70 |
69 |
$0.00 |
| 3074F |
|
38 |
37 |
$0.00 |