| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
11,131 |
6,502 |
$494K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,960 |
1,972 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,628 |
1,244 |
$52K |
| 99199 |
Unlisted special service, procedure or report |
7,000 |
6,957 |
$25K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
856 |
540 |
$4K |
| 99215 |
Prolong outpt/office vis |
33 |
28 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
165 |
68 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
16 |
$1K |
| 99310 |
Prolong nursin fac eval 15m |
38 |
24 |
$919.45 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
218 |
59 |
$835.83 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
93 |
61 |
$780.48 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
28 |
16 |
$495.69 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
29 |
25 |
$0.00 |
| 0011A |
|
12 |
12 |
$0.00 |
| 91301 |
|
37 |
37 |
$0.00 |