| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,105 |
2,904 |
$329K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,849 |
2,660 |
$310K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,722 |
1,701 |
$176K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
868 |
844 |
$97K |
| 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 |
943 |
891 |
$63K |
| 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 |
940 |
888 |
$22K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,054 |
1,013 |
$16K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
229 |
215 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
650 |
317 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
807 |
775 |
$6K |
| 87428 |
|
571 |
560 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,711 |
1,606 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
157 |
99 |
$477.59 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$306.75 |
| 81003 |
|
314 |
291 |
$146.16 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
16 |
14 |
$40.97 |
| 90686 |
|
17 |
17 |
$12.80 |
| H0033 |
Oral medication administration, direct observation |
29 |
26 |
$0.00 |