| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,895 |
3,192 |
$656K |
| 87428 |
|
609 |
491 |
$31K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
286 |
258 |
$10K |
| 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 |
191 |
120 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
349 |
308 |
$428.51 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
121 |
91 |
$16.71 |
| 36415 |
Collection of venous blood by venipuncture |
49 |
43 |
$15.00 |
| 81003 |
|
26 |
24 |
$2.25 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
26 |
24 |
$0.96 |
| 1000F |
|
168 |
153 |
$0.01 |
| 1159F |
|
263 |
224 |
$0.00 |
| 3078F |
|
353 |
313 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
145 |
125 |
$0.00 |
| 3077F |
|
16 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
14 |
$0.00 |
| 3079F |
|
113 |
101 |
$0.00 |
| 3074F |
|
389 |
347 |
$0.00 |
| 1220F |
|
165 |
152 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$0.00 |
| 1036F |
|
61 |
61 |
$0.00 |
| 87430 |
|
33 |
30 |
$0.00 |
| 4000F |
|
69 |
66 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$0.00 |