| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
22,118 |
20,653 |
$4.05M |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
3,905 |
3,643 |
$11K |
| 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 |
165 |
156 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
4,624 |
4,568 |
$9K |
| 0012A |
|
690 |
682 |
$8K |
| 0011A |
|
734 |
712 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,367 |
7,796 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,353 |
2,197 |
$2K |
| 0002A |
|
64 |
63 |
$1K |
| 0001A |
|
57 |
55 |
$1K |
| 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 |
18 |
17 |
$900.72 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
404 |
388 |
$707.46 |
| 0064A |
|
48 |
46 |
$520.00 |
| 36415 |
Collection of venous blood by venipuncture |
445 |
415 |
$102.23 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
196 |
176 |
$20.00 |
| 96127 |
|
59 |
58 |
$8.00 |
| 91300 |
|
156 |
143 |
$0.00 |
| 3078F |
|
148 |
143 |
$0.00 |
| 91301 |
|
1,366 |
1,303 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
226 |
218 |
$0.00 |
| 90688 |
|
155 |
155 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
97 |
97 |
$0.00 |
| 3074F |
|
216 |
206 |
$0.00 |
| 94760 |
|
346 |
318 |
$0.00 |
| 3079F |
|
25 |
25 |
$0.00 |
| 91306 |
|
28 |
27 |
$0.00 |