| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,644 |
4,664 |
$895K |
| 87428 |
|
626 |
522 |
$36K |
| 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 |
1,428 |
1,086 |
$31K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
184 |
165 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
209 |
184 |
$500.47 |
| 90686 |
|
15 |
13 |
$161.40 |
| 36415 |
Collection of venous blood by venipuncture |
86 |
79 |
$111.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
667 |
527 |
$44.08 |
| Q3014 |
Telehealth originating site facility fee |
29 |
26 |
$33.02 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
63 |
61 |
$0.03 |
| 1160F |
|
107 |
94 |
$0.02 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
76 |
71 |
$0.00 |
| 87430 |
|
134 |
127 |
$0.00 |
| 1000F |
|
14 |
12 |
$0.00 |