| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,111 |
4,319 |
$828K |
| 87428 |
|
393 |
317 |
$22K |
| 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 |
182 |
156 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
83 |
78 |
$3K |
| 90686 |
|
70 |
69 |
$921.94 |
| 90651 |
|
28 |
25 |
$272.40 |
| 90633 |
|
13 |
12 |
$105.16 |
| Q3014 |
Telehealth originating site facility fee |
64 |
50 |
$78.84 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
16 |
$75.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
47 |
45 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$0.00 |
| 81002 |
|
12 |
12 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27 |
25 |
$0.00 |