| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,966 |
2,528 |
$454K |
| 87428 |
|
182 |
117 |
$7K |
| 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 |
138 |
100 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
725 |
640 |
$708.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
64 |
39 |
$60.61 |
| 81003 |
|
87 |
77 |
$16.66 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
30 |
27 |
$1.53 |
| 3074F |
|
125 |
118 |
$0.00 |
| 1000F |
|
202 |
190 |
$0.00 |
| 4000F |
|
160 |
150 |
$0.00 |
| 1034F |
|
79 |
70 |
$0.00 |
| 3079F |
|
44 |
41 |
$0.00 |
| 1036F |
|
139 |
134 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20 |
14 |
$0.00 |
| 1220F |
|
122 |
114 |
$0.00 |
| 82044 |
|
13 |
13 |
$0.00 |
| 3078F |
|
85 |
82 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$0.00 |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
20 |
20 |
$0.00 |
| 1160F |
|
15 |
14 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
13 |
$0.00 |
| 1159F |
|
16 |
16 |
$0.00 |
| 3077F |
|
16 |
15 |
$0.00 |