| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
91 |
76 |
$117.96 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
29 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
213 |
142 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
54 |
53 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
138 |
68 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
264 |
210 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
45 |
44 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
127 |
115 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
20 |
18 |
$0.00 |