| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
306 |
253 |
$48K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
475 |
447 |
$27K |
| 80305 |
|
1,832 |
987 |
$20K |
| 99443 |
|
83 |
73 |
$8K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
229 |
107 |
$4K |
| 87631 |
|
15 |
15 |
$2K |
| 87428 |
|
45 |
41 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
103 |
102 |
$1K |
| 99442 |
|
16 |
15 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
77 |
62 |
$929.89 |
| 90682 |
|
42 |
42 |
$914.76 |
| 96160 |
|
48 |
48 |
$53.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41 |
25 |
$6.44 |
| 90686 |
|
205 |
204 |
$0.13 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
26 |
$0.00 |
| 99000 |
|
27 |
21 |
$0.00 |