| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
22,883 |
15,255 |
$2.50M |
| 99199 |
Unlisted special service, procedure or report |
86,020 |
43,854 |
$483K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
800 |
595 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,535 |
2,017 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
333 |
204 |
$5K |
| 0011A |
|
52 |
52 |
$3K |
| 0012A |
|
46 |
46 |
$3K |
| 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 |
110 |
88 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
63 |
50 |
$679.86 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
14 |
$562.02 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
22 |
12 |
$498.57 |
| 92551 |
|
257 |
152 |
$317.01 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
30 |
14 |
$202.84 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
12 |
$181.39 |
| 81000 |
|
74 |
48 |
$153.94 |
| 98968 |
|
19 |
13 |
$75.12 |
| 90661 |
|
16 |
13 |
$65.30 |
| 82962 |
|
21 |
13 |
$27.23 |
| 99173 |
|
155 |
94 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
811 |
358 |
$0.00 |
| 91301 |
|
136 |
133 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
363 |
198 |
$0.00 |
| 96127 |
|
76 |
32 |
$0.00 |
| 90674 |
|
25 |
12 |
$0.00 |
| 96161 |
|
71 |
28 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
19 |
12 |
$0.00 |