| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,514 |
3,100 |
$307K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,718 |
1,989 |
$30K |
| 36415 |
Collection of venous blood by venipuncture |
1,685 |
671 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,304 |
545 |
$5K |
| 99215 |
Prolong outpt/office vis |
177 |
45 |
$1K |
| 90688 |
|
13 |
12 |
$257.98 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
127 |
26 |
$257.98 |
| 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 |
242 |
213 |
$0.00 |
| 93000 |
|
81 |
12 |
$0.00 |
| 96127 |
|
246 |
33 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
14 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
14 |
$0.00 |
| 81003 |
|
15 |
13 |
$0.00 |