| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,586 |
1,396 |
$148K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,146 |
1,035 |
$95K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,107 |
959 |
$67K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
802 |
683 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
162 |
147 |
$24K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
528 |
470 |
$8K |
| 99051 |
|
1,449 |
1,323 |
$5K |
| 99072 |
|
1,882 |
1,645 |
$4K |
| 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 |
64 |
54 |
$3K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
521 |
413 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
32 |
26 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
80 |
68 |
$1K |
| 80053 |
Comprehensive metabolic panel |
143 |
128 |
$981.45 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
65 |
63 |
$945.23 |
| 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 |
63 |
53 |
$898.90 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
151 |
129 |
$751.61 |
| 36415 |
Collection of venous blood by venipuncture |
406 |
354 |
$745.18 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
12 |
$253.22 |
| 81003 |
|
13 |
13 |
$22.62 |
| 99000 |
|
386 |
348 |
$11.73 |
| 3044F |
|
19 |
17 |
$0.00 |