| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,578 |
1,444 |
$334K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
85 |
84 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,187 |
1,086 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
64 |
61 |
$902.36 |
| 1159F |
|
69 |
66 |
$0.00 |
| 1160F |
|
71 |
67 |
$0.00 |
| 3008F |
|
105 |
102 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
449 |
432 |
$0.00 |
| 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 |
113 |
110 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
77 |
77 |
$0.00 |
| 1036F |
|
115 |
111 |
$0.00 |
| 3074F |
|
12 |
12 |
$0.00 |