| Code | Description | Claims | Beneficiaries | Total Paid |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,380 |
734 |
$52K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
681 |
680 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,401 |
1,267 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
790 |
788 |
$27K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
936 |
910 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
751 |
715 |
$24K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
502 |
427 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,105 |
844 |
$20K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
425 |
374 |
$18K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
891 |
390 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
454 |
435 |
$2K |
| 99051 |
|
322 |
301 |
$1K |
| 99201 |
|
106 |
105 |
$1K |
| 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 |
13 |
13 |
$525.00 |
| 87081 |
|
69 |
68 |
$331.40 |
| 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 |
26 |
26 |
$245.36 |
| 36415 |
Collection of venous blood by venipuncture |
275 |
267 |
$216.20 |
| 99401 |
|
13 |
13 |
$91.35 |
| 81000 |
|
14 |
14 |
$22.01 |
| 71045 |
Radiologic examination, chest; single view |
24 |
24 |
$16.05 |
| 94760 |
|
14 |
13 |
$2.80 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
146 |
71 |
$0.00 |
| 1159F |
|
13 |
13 |
$0.00 |
| 99000 |
|
14 |
14 |
$0.00 |