| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
258 |
227 |
$31K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,256 |
948 |
$19K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
614 |
405 |
$14K |
| 80305 |
|
860 |
623 |
$7K |
| 87428 |
|
82 |
78 |
$4K |
| 0011A |
|
48 |
43 |
$2K |
| 0124A |
|
20 |
20 |
$760.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
175 |
116 |
$667.91 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
96 |
90 |
$578.36 |
| 80053 |
Comprehensive metabolic panel |
66 |
60 |
$511.87 |
| 0013A |
|
16 |
12 |
$400.00 |
| 90686 |
|
248 |
161 |
$144.17 |
| 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 |
21 |
13 |
$141.28 |
| 80061 |
Lipid panel |
13 |
13 |
$122.40 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$94.86 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$81.09 |
| 91312 |
|
21 |
21 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
47 |
34 |
$0.00 |
| 91301 |
|
56 |
49 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48 |
46 |
$0.00 |
| 92551 |
|
12 |
12 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$0.00 |