| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,861 |
4,135 |
$794K |
| 87428 |
|
394 |
313 |
$22K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
119 |
111 |
$5K |
| 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 |
143 |
119 |
$3K |
| 90686 |
|
65 |
63 |
$916.26 |
| 90656 |
|
17 |
15 |
$38.24 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
77 |
67 |
$33.36 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
93 |
78 |
$31.32 |
| 87430 |
|
29 |
25 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$0.00 |
| 3074F |
|
19 |
18 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
143 |
131 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
43 |
43 |
$0.00 |
| 3078F |
|
18 |
17 |
$0.00 |