| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
703 |
692 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
658 |
632 |
$38K |
| 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 |
209 |
196 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
147 |
134 |
$7K |
| 99215 |
Prolong outpt/office vis |
69 |
69 |
$5K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
80 |
78 |
$3K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
26 |
26 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
27 |
27 |
$2K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
26 |
26 |
$2K |
| 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 |
67 |
66 |
$1K |
| 95251 |
|
28 |
28 |
$509.91 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
64 |
62 |
$457.13 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
14 |
$395.64 |
| 99051 |
|
13 |
13 |
$325.00 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
228 |
214 |
$0.00 |
| 1159F |
|
292 |
268 |
$0.00 |
| 99001 |
|
27 |
27 |
$0.00 |
| 3085F |
|
32 |
29 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
285 |
274 |
$0.00 |