| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
6,984 |
4,883 |
$893K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,603 |
3,404 |
$220.89 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,461 |
1,018 |
$0.01 |
| 1159F |
|
989 |
764 |
$0.00 |
| 99307 |
|
119 |
118 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
67 |
56 |
$0.00 |
| 1160F |
|
283 |
210 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
264 |
62 |
$0.00 |
| 3078F |
|
103 |
78 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
90 |
31 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
103 |
95 |
$0.00 |
| 1220F |
|
579 |
449 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
334 |
315 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
154 |
67 |
$0.00 |
| 1126F |
|
501 |
388 |
$0.00 |
| 3075F |
|
32 |
25 |
$0.00 |
| 96127 |
|
61 |
27 |
$0.00 |
| 1125F |
|
166 |
128 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
28 |
26 |
$0.00 |
| 3074F |
|
57 |
44 |
$0.00 |
| 3079F |
|
57 |
45 |
$0.00 |
| 00000 |
|
16 |
12 |
$0.00 |