| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
27,265 |
17,395 |
$1.87M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,666 |
7,652 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,890 |
4,282 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,366 |
932 |
$2K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
289 |
228 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,036 |
798 |
$491.50 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
532 |
343 |
$31.76 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
187 |
72 |
$22.24 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
112 |
79 |
$1.92 |
| 99307 |
|
2,073 |
1,363 |
$0.00 |
| 3078F |
|
140 |
129 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
20 |
12 |
$0.00 |
| 82947 |
|
279 |
149 |
$0.00 |
| 1160F |
|
16 |
13 |
$0.00 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
13 |
12 |
$0.00 |
| 1159F |
|
16 |
13 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
20 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,950 |
1,686 |
$0.00 |
| 3074F |
|
279 |
253 |
$0.00 |
| 3075F |
|
36 |
33 |
$0.00 |
| 3079F |
|
64 |
61 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
12 |
$0.00 |