| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,705 |
10,545 |
$2.10M |
| 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 |
2,304 |
2,006 |
$45K |
| 87428 |
|
544 |
495 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
137 |
113 |
$7K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
361 |
333 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,294 |
1,183 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,224 |
1,022 |
$3K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
228 |
221 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
44 |
31 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
30 |
28 |
$1K |
| 0002A |
|
12 |
12 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24 |
22 |
$1K |
| 0001A |
|
12 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
855 |
736 |
$417.10 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
162 |
150 |
$357.32 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
615 |
524 |
$350.77 |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
12 |
12 |
$341.82 |
| 90619 |
|
61 |
30 |
$262.80 |
| 90756 |
|
13 |
13 |
$227.90 |
| 71046 |
Radiologic examination, chest; 2 views |
244 |
222 |
$206.99 |
| 90688 |
|
21 |
20 |
$178.40 |
| 81001 |
|
322 |
288 |
$164.43 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
59 |
57 |
$101.54 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
201 |
180 |
$66.46 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
722 |
661 |
$35.38 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
61 |
59 |
$32.92 |
| 87807 |
|
75 |
70 |
$27.68 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
82 |
69 |
$27.48 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34 |
29 |
$16.19 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
25 |
25 |
$2.16 |
| 3078F |
|
121 |
82 |
$0.01 |
| 3074F |
|
43 |
26 |
$0.01 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
274 |
245 |
$0.00 |
| 99307 |
|
77 |
77 |
$0.00 |
| 86703 |
|
17 |
13 |
$0.00 |
| 91300 |
|
18 |
18 |
$0.00 |
| 1160F |
|
14 |
13 |
$0.00 |
| 3075F |
|
57 |
46 |
$0.00 |
| 1034F |
|
15 |
12 |
$0.00 |
| 99406 |
|
16 |
13 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
14 |
14 |
$0.00 |