| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
344 |
323 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
86 |
81 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
56 |
26 |
$622.72 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
14 |
$500.24 |
| T1015 |
Clinic visit/encounter, all-inclusive |
20 |
19 |
$0.00 |
| 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 |
716 |
589 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
29 |
26 |
$0.00 |