| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,806 |
3,442 |
$89K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,808 |
1,604 |
$34K |
| T1015 |
Clinic visit/encounter, all-inclusive |
123 |
116 |
$8K |
| 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 |
22 |
20 |
$567.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
19 |
16 |
$311.20 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$244.86 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
36 |
34 |
$240.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
36 |
34 |
$240.00 |
| 99442 |
|
13 |
12 |
$174.49 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
12 |
$51.07 |
| 86787 |
|
28 |
28 |
$12.82 |
| 36415 |
Collection of venous blood by venipuncture |
37 |
37 |
$2.00 |
| 86704 |
|
36 |
36 |
$0.00 |
| 87340 |
|
36 |
36 |
$0.00 |
| 91301 |
|
19 |
19 |
$0.00 |
| 86708 |
|
12 |
12 |
$0.00 |
| 86480 |
|
31 |
31 |
$0.00 |