| Code | Description | Claims | Beneficiaries | Total Paid |
| 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 |
156 |
147 |
$15K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
378 |
39 |
$12K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
186 |
179 |
$8K |
| 0240U |
|
13 |
13 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
248 |
131 |
$4K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
34 |
34 |
$3K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
13 |
13 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
145 |
142 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
62 |
14 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
70 |
68 |
$912.34 |
| 80053 |
Comprehensive metabolic panel |
12 |
12 |
$700.13 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
70 |
64 |
$59.02 |
| 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 |
156 |
147 |
$0.00 |
| A9270 |
Non-covered item or service |
14 |
12 |
$0.00 |