| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
104 |
84 |
$10K |
| 99350 |
Prolong home eval add 15m |
167 |
156 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
193 |
144 |
$5K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
322 |
196 |
$4K |
| 99345 |
Prolong home eval add 15m |
14 |
14 |
$797.46 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
22 |
18 |
$777.26 |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$441.91 |
| 99457 |
|
16 |
15 |
$46.20 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
12 |
12 |
$0.00 |