| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,236 |
4,168 |
$379K |
| 99199 |
Unlisted special service, procedure or report |
24,928 |
11,499 |
$134K |
| 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 |
1,852 |
1,588 |
$20K |
| 36415 |
Collection of venous blood by venipuncture |
1,972 |
1,625 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
39 |
24 |
$640.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
23 |
15 |
$191.94 |
| 81003 |
|
13 |
12 |
$27.00 |
| 96127 |
|
144 |
123 |
$8.50 |
| 3074F |
|
12 |
12 |
$0.02 |
| 3044F |
|
15 |
15 |
$0.01 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
19 |
14 |
$0.00 |