| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
8,123 |
6,266 |
$724K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
431 |
369 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
406 |
349 |
$9K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
507 |
436 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
60 |
54 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$1K |
| 87428 |
|
230 |
211 |
$588.89 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
248 |
229 |
$408.08 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
80 |
74 |
$157.80 |
| 36415 |
Collection of venous blood by venipuncture |
120 |
113 |
$0.00 |