| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,456 |
2,694 |
$104K |
| 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 |
287 |
125 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
130 |
107 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
13 |
$823.92 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
40 |
$603.59 |
| 80050 |
General health panel |
18 |
12 |
$448.17 |
| 36415 |
Collection of venous blood by venipuncture |
84 |
61 |
$176.00 |
| 87081 |
|
34 |
21 |
$164.52 |
| 90656 |
|
16 |
14 |
$155.20 |