| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,733 |
1,562 |
$52K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,170 |
1,068 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,164 |
1,056 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,336 |
720 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,493 |
1,272 |
$15K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
248 |
248 |
$9K |
| 87400 |
|
1,354 |
745 |
$8K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,167 |
1,080 |
$7K |
| 87428 |
|
127 |
117 |
$4K |
| 99310 |
Prolong nursin fac eval 15m |
58 |
51 |
$2K |
| T1015 |
Clinic visit/encounter, all-inclusive |
325 |
277 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
33 |
28 |
$961.55 |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$256.22 |
| 87807 |
|
13 |
13 |
$169.13 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
65 |
64 |
$106.31 |
| 80053 |
Comprehensive metabolic panel |
14 |
14 |
$45.30 |
| 80061 |
Lipid panel |
13 |
13 |
$39.79 |
| 81003 |
|
14 |
12 |
$35.20 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
15 |
$8.00 |