| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99205 |
Prolong outpt/office vis |
272 |
262 |
$38K |
| 99215 |
Prolong outpt/office vis |
217 |
214 |
$22K |
| 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 |
111 |
102 |
$9K |
| 82607 |
|
212 |
176 |
$5K |
| 80053 |
Comprehensive metabolic panel |
235 |
195 |
$5K |
| 84207 |
|
119 |
89 |
$4K |
| 85027 |
|
389 |
343 |
$4K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
87 |
63 |
$4K |
| 84252 |
|
120 |
90 |
$4K |
| 83540 |
|
216 |
177 |
$2K |
| 84590 |
|
121 |
91 |
$2K |
| 84425 |
|
121 |
91 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
21 |
20 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
65 |
62 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
14 |
$862.05 |
| 71046 |
Radiologic examination, chest; 2 views |
16 |
14 |
$357.12 |
| 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 |
12 |
12 |
$307.20 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
16 |
14 |
$198.12 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$49.28 |