| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
8,659 |
7,102 |
$1.33M |
| 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 |
2,420 |
1,842 |
$50K |
| 87428 |
|
846 |
720 |
$40K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
287 |
261 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
1,019 |
923 |
$1K |
| 90686 |
|
56 |
53 |
$656.28 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,588 |
1,291 |
$648.79 |
| 0001A |
|
13 |
13 |
$480.00 |
| 90661 |
|
15 |
14 |
$314.61 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
283 |
256 |
$164.24 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
316 |
222 |
$87.48 |
| 90656 |
|
24 |
24 |
$66.92 |
| 82044 |
|
12 |
12 |
$17.06 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
29 |
28 |
$13.22 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
167 |
161 |
$10.65 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
100 |
88 |
$2.25 |
| 1160F |
|
320 |
290 |
$0.14 |
| 1036F |
|
76 |
67 |
$0.00 |
| 1220F |
|
313 |
286 |
$0.00 |
| 3079F |
|
142 |
126 |
$0.00 |
| 1000F |
|
217 |
193 |
$0.00 |
| 4000F |
|
29 |
26 |
$0.00 |
| 3074F |
|
364 |
333 |
$0.00 |
| 87430 |
|
29 |
29 |
$0.00 |
| 3075F |
|
28 |
27 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
13 |
$0.00 |
| 1034F |
|
13 |
13 |
$0.00 |
| 3078F |
|
259 |
240 |
$0.00 |
| 1159F |
|
173 |
157 |
$0.00 |
| 3077F |
|
18 |
18 |
$0.00 |