| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,597 |
3,514 |
$154K |
| T1015 |
Clinic visit/encounter, all-inclusive |
3,406 |
2,795 |
$102K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,444 |
1,259 |
$90K |
| 99221 |
|
851 |
710 |
$36K |
| 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 |
1,461 |
1,079 |
$33K |
| 99215 |
Prolong outpt/office vis |
17 |
14 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
59 |
26 |
$165.69 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$140.51 |
| 81002 |
|
30 |
24 |
$68.04 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$51.81 |
| G0008 |
Administration of influenza virus vaccine |
15 |
12 |
$0.00 |