| Code | Description | Claims | Beneficiaries | Total Paid |
| T1017 |
Targeted case management, each 15 minutes |
15,841 |
6,844 |
$2.57M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
7,846 |
1,346 |
$1.77M |
| T1016 |
Case management, each 15 minutes |
7,028 |
1,315 |
$763K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
670 |
657 |
$56K |
| U0005 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
662 |
649 |
$16K |
| T1015 |
Clinic visit/encounter, all-inclusive |
65 |
53 |
$7K |
| 86769 |
|
15 |
15 |
$171.92 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,245 |
3,236 |
$19.63 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,661 |
1,654 |
$17.42 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,118 |
5,023 |
$15.44 |
| 82607 |
|
1,255 |
1,248 |
$14.50 |
| 80061 |
Lipid panel |
4,375 |
4,360 |
$13.68 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
322 |
322 |
$0.00 |
| 86803 |
|
105 |
105 |
$0.00 |
| 83735 |
|
361 |
359 |
$0.00 |
| 83550 |
|
794 |
793 |
$0.00 |
| 84479 |
|
851 |
851 |
$0.00 |
| 81001 |
|
474 |
464 |
$0.00 |
| 84436 |
|
903 |
903 |
$0.00 |
| 3061F |
|
667 |
667 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,091 |
3,064 |
$0.00 |
| 82043 |
|
875 |
874 |
$0.00 |
| 3052F |
|
80 |
80 |
$0.00 |
| 85651 |
|
76 |
76 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
854 |
834 |
$0.00 |
| 82746 |
|
638 |
634 |
$0.00 |
| 3044F |
|
2,141 |
2,132 |
$0.00 |
| 3060F |
|
144 |
144 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
5,177 |
5,130 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
226 |
225 |
$0.00 |
| 82728 |
|
199 |
199 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$0.00 |
| 80050 |
General health panel |
24 |
24 |
$0.00 |
| 80076 |
|
221 |
217 |
$0.00 |
| 84439 |
|
389 |
388 |
$0.00 |
| 3051F |
|
383 |
383 |
$0.00 |
| 3046F |
|
420 |
420 |
$0.00 |
| 83540 |
|
794 |
793 |
$0.00 |
| 85610 |
|
151 |
102 |
$0.00 |
| 82570 |
|
914 |
909 |
$0.00 |
| 80074 |
|
25 |
25 |
$0.00 |
| 83721 |
|
27 |
27 |
$0.00 |
| 84550 |
|
12 |
12 |
$0.00 |
| D1999 |
|
49 |
40 |
$0.00 |