| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
13,288 |
11,262 |
$2.09M |
| 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 |
1,583 |
1,239 |
$31K |
| 87428 |
|
423 |
352 |
$22K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
267 |
257 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,511 |
1,217 |
$5K |
| 90686 |
|
216 |
199 |
$3K |
| 81025 |
|
133 |
113 |
$677.25 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
636 |
564 |
$299.84 |
| 90661 |
|
14 |
14 |
$299.79 |
| 90656 |
|
90 |
82 |
$191.20 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32 |
24 |
$151.52 |
| 82044 |
|
97 |
90 |
$72.24 |
| 36415 |
Collection of venous blood by venipuncture |
1,153 |
1,044 |
$33.00 |
| 81003 |
|
412 |
375 |
$21.12 |
| 90674 |
|
38 |
36 |
$13.14 |
| 87430 |
|
31 |
29 |
$13.11 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
270 |
260 |
$11.26 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
50 |
50 |
$4.16 |
| 81002 |
|
366 |
344 |
$4.07 |
| 82947 |
|
83 |
77 |
$0.59 |
| 1000F |
|
1,000 |
903 |
$0.09 |
| 3078F |
|
412 |
386 |
$0.01 |
| 1160F |
|
47 |
46 |
$0.01 |
| 3074F |
|
480 |
449 |
$0.01 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
369 |
343 |
$0.00 |
| 3077F |
|
21 |
18 |
$0.00 |
| 1159F |
|
121 |
113 |
$0.00 |
| 1032F |
|
34 |
31 |
$0.00 |
| 1034F |
|
437 |
393 |
$0.00 |
| 1220F |
|
549 |
504 |
$0.00 |
| 3079F |
|
133 |
123 |
$0.00 |
| 1036F |
|
712 |
646 |
$0.00 |
| 99441 |
|
19 |
19 |
$0.00 |
| 4000F |
|
491 |
449 |
$0.00 |
| 3075F |
|
14 |
12 |
$0.00 |
| 1111F |
|
497 |
449 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
13 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
46 |
46 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$0.00 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
19 |
19 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
17 |
15 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
31 |
27 |
$0.00 |