| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
351,902 |
303,900 |
$32.80M |
| S9083 |
Global fee urgent care centers |
289,398 |
233,609 |
$32.42M |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
102,262 |
61,520 |
$6.50M |
| 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 |
32,027 |
16,730 |
$2.64M |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
57,423 |
39,929 |
$1.77M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17,440 |
15,561 |
$1.66M |
| 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 |
32,177 |
16,758 |
$770K |
| 87070 |
|
97,584 |
90,888 |
$552K |
| 87184 |
|
97,720 |
90,996 |
$499K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,110 |
3,094 |
$328K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
106,641 |
99,001 |
$327K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26,425 |
18,057 |
$326K |
| 12001 |
|
4,596 |
4,541 |
$201K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,333 |
1,318 |
$158K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,771 |
1,692 |
$85K |
| 10060 |
|
1,298 |
1,276 |
$61K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
4,088 |
3,976 |
$50K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,515 |
1,510 |
$45K |
| 12011 |
|
1,261 |
1,252 |
$38K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
342 |
341 |
$32K |
| 69210 |
|
1,217 |
1,191 |
$31K |
| 0001A |
|
534 |
528 |
$28K |
| 36415 |
Collection of venous blood by venipuncture |
12,988 |
12,334 |
$22K |
| 0002A |
|
415 |
414 |
$22K |
| 0031A |
|
391 |
390 |
$21K |
| 88738 |
|
4,109 |
4,097 |
$17K |
| 10120 |
|
316 |
314 |
$16K |
| 12002 |
|
348 |
347 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
690 |
686 |
$13K |
| 90686 |
|
742 |
739 |
$12K |
| 12051 |
|
200 |
198 |
$10K |
| 29130 |
|
642 |
617 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,013 |
925 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,321 |
3,201 |
$7K |
| 81003 |
|
4,832 |
4,591 |
$4K |
| 29515 |
|
124 |
122 |
$4K |
| 99215 |
Prolong outpt/office vis |
28 |
28 |
$4K |
| 0011A |
|
40 |
40 |
$3K |
| 81002 |
|
168 |
162 |
$3K |
| 29105 |
|
55 |
54 |
$2K |
| 25600 |
|
32 |
31 |
$2K |
| 0003A |
|
37 |
37 |
$2K |
| 90688 |
|
193 |
187 |
$2K |
| 0012A |
|
16 |
16 |
$970.00 |
| 12013 |
|
13 |
13 |
$689.29 |
| 85027 |
|
763 |
728 |
$537.77 |
| 90656 |
|
12 |
12 |
$458.66 |
| 87807 |
|
147 |
147 |
$393.00 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
69 |
67 |
$357.62 |
| 12052 |
|
13 |
13 |
$287.38 |
| 87420 |
|
90 |
90 |
$267.63 |
| 29700 |
|
13 |
13 |
$216.12 |
| 85018 |
|
174 |
174 |
$130.00 |
| 90672 |
|
25 |
25 |
$101.16 |
| 81025 |
|
113 |
108 |
$66.66 |
| 73110 |
|
12 |
12 |
$23.38 |
| 36416 |
|
974 |
961 |
$10.50 |
| J7050 |
Infusion, normal saline solution, 250 cc |
44 |
44 |
$0.67 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
76 |
74 |
$0.52 |
| 91300 |
|
174 |
166 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
13 |
12 |
$0.00 |
| 99024 |
|
1,577 |
1,152 |
$0.00 |
| 91303 |
|
70 |
70 |
$0.00 |
| 94760 |
|
367 |
349 |
$0.00 |