| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,372 |
6,255 |
$1.17M |
| 87428 |
|
572 |
461 |
$28K |
| 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 |
731 |
613 |
$14K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
162 |
158 |
$6K |
| 90686 |
|
30 |
28 |
$435.78 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
227 |
193 |
$426.02 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
187 |
161 |
$255.55 |
| 36415 |
Collection of venous blood by venipuncture |
636 |
593 |
$120.60 |
| 90656 |
|
20 |
19 |
$28.68 |
| 82044 |
|
30 |
27 |
$28.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
268 |
255 |
$17.03 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
25 |
25 |
$12.64 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
150 |
145 |
$9.92 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
30 |
26 |
$0.96 |
| 1160F |
|
2,366 |
2,066 |
$0.12 |
| 81002 |
|
87 |
81 |
$0.00 |
| 1159F |
|
117 |
100 |
$0.00 |
| 3351F |
|
190 |
178 |
$0.00 |
| 87430 |
|
61 |
55 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
26 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
12 |
12 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
14 |
$0.00 |