| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,049 |
1,020 |
$75K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,910 |
1,760 |
$58K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
887 |
849 |
$41K |
| 86769 |
|
1,248 |
1,186 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
957 |
815 |
$27K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
2,671 |
2,397 |
$25K |
| 86328 |
|
508 |
470 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
137 |
124 |
$6K |
| 99215 |
Prolong outpt/office vis |
35 |
35 |
$3K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
370 |
322 |
$1K |
| 0011A |
|
14 |
14 |
$560.00 |
| 0053A |
|
13 |
13 |
$520.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
20 |
17 |
$342.80 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
22 |
15 |
$236.30 |
| 99241 |
|
103 |
98 |
$195.12 |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
15 |
14 |
$75.00 |
| 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 |
15 |
14 |
$25.00 |
| 91305 |
|
14 |
14 |
$0.14 |
| 99080 |
|
91 |
33 |
$0.00 |