| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
706 |
658 |
$127K |
| T1015 |
Clinic visit/encounter, all-inclusive |
956 |
784 |
$63K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
197 |
187 |
$40K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
20 |
18 |
$1K |
| 87430 |
|
77 |
74 |
$293.72 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
32 |
$116.21 |
| 96127 |
|
72 |
71 |
$101.84 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$86.44 |
| 99406 |
|
12 |
12 |
$27.39 |
| 99408 |
|
42 |
42 |
$0.28 |
| 99071 |
|
60 |
59 |
$0.01 |
| 1000F |
|
48 |
45 |
$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 |
43 |
36 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
20 |
20 |
$0.00 |
| 3008F |
|
58 |
51 |
$0.00 |