| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,730 |
4,959 |
$483K |
| 99000 |
|
3,980 |
3,565 |
$23K |
| 36415 |
Collection of venous blood by venipuncture |
3,408 |
3,096 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,293 |
1,962 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,782 |
1,693 |
$12K |
| 90686 |
|
197 |
191 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
61 |
58 |
$733.78 |
| 90715 |
|
17 |
17 |
$417.78 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
53 |
50 |
$367.88 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
15 |
$280.80 |
| 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 |
117 |
99 |
$0.67 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
49 |
41 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
54 |
47 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
16 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
99 |
95 |
$0.00 |
| 87430 |
|
15 |
13 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
14 |
12 |
$0.00 |
| 90732 |
|
14 |
14 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
15 |
15 |
$0.00 |
| 96127 |
|
31 |
30 |
$0.00 |
| 90656 |
|
15 |
14 |
$0.00 |
| 90632 |
|
12 |
12 |
$0.00 |