| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
9,985 |
7,874 |
$1.16M |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,023 |
850 |
$19K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
135 |
67 |
$8K |
| 99199 |
Unlisted special service, procedure or report |
1,281 |
629 |
$8K |
| 0012A |
|
91 |
91 |
$5K |
| 0011A |
|
53 |
53 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
88 |
64 |
$3K |
| 99401 |
|
91 |
64 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
105 |
78 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
13 |
$1K |
| 92551 |
|
172 |
123 |
$672.64 |
| 87634 |
|
77 |
73 |
$547.14 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
58 |
48 |
$523.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
37 |
31 |
$480.81 |
| 81002 |
|
173 |
146 |
$459.90 |
| 96160 |
|
125 |
89 |
$441.32 |
| 81025 |
|
91 |
75 |
$407.26 |
| 96127 |
|
301 |
210 |
$400.53 |
| 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 |
31 |
31 |
$319.73 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
25 |
18 |
$217.71 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
15 |
$187.44 |
| 99173 |
|
166 |
119 |
$139.19 |
| 3074F |
|
75 |
66 |
$0.00 |
| 99000 |
|
78 |
77 |
$0.00 |
| 3079F |
|
19 |
15 |
$0.00 |
| 3078F |
|
50 |
46 |
$0.00 |