| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
607 |
477 |
$49K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
430 |
367 |
$44K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
329 |
299 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
340 |
294 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
413 |
384 |
$12K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
238 |
212 |
$11K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
411 |
382 |
$10K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
401 |
372 |
$10K |
| 84443 |
Thyroid stimulating hormone (TSH) |
643 |
635 |
$7K |
| 80053 |
Comprehensive metabolic panel |
1,161 |
1,020 |
$7K |
| 80061 |
Lipid panel |
729 |
724 |
$7K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
302 |
302 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
48 |
48 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,110 |
902 |
$5K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
315 |
260 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
538 |
531 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
421 |
256 |
$3K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
139 |
139 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
38 |
12 |
$2K |
| 82607 |
|
134 |
133 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
17 |
17 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
17 |
13 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
51 |
38 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
25 |
25 |
$970.83 |
| 81001 |
|
474 |
460 |
$941.27 |
| 99199 |
Unlisted special service, procedure or report |
26 |
24 |
$940.96 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
149 |
146 |
$916.12 |
| 85027 |
|
193 |
182 |
$824.28 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$759.45 |
| 82746 |
|
84 |
83 |
$736.74 |
| 86592 |
|
229 |
219 |
$724.37 |
| 82728 |
|
54 |
49 |
$628.52 |
| 84439 |
|
59 |
59 |
$373.19 |
| 83550 |
|
31 |
29 |
$292.94 |
| 97802 |
|
124 |
124 |
$270.45 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$254.73 |
| 83540 |
|
30 |
29 |
$209.29 |
| 82043 |
|
45 |
45 |
$176.74 |
| 82570 |
|
50 |
50 |
$174.47 |
| 84153 |
|
14 |
14 |
$150.23 |
| 81025 |
|
57 |
55 |
$141.94 |
| 85652 |
|
59 |
59 |
$93.78 |
| 83690 |
|
45 |
43 |
$87.05 |
| 87088 |
|
12 |
12 |
$71.72 |
| 83735 |
|
14 |
12 |
$67.98 |
| 85610 |
|
33 |
24 |
$63.56 |
| 81003 |
|
57 |
56 |
$58.24 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
18 |
12 |
$39.68 |
| 36415 |
Collection of venous blood by venipuncture |
813 |
758 |
$37.57 |
| 84550 |
|
12 |
12 |
$37.19 |
| 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 |
187 |
131 |
$15.00 |
| 99442 |
|
24 |
23 |
$0.00 |
| 99072 |
|
101 |
94 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
28 |
24 |
$0.00 |
| 3078F |
|
30 |
28 |
$0.00 |
| 99173 |
|
57 |
57 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
39 |
39 |
$0.00 |
| 90658 |
|
12 |
12 |
$0.00 |
| 92551 |
|
79 |
79 |
$0.00 |
| 3074F |
|
60 |
59 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
111 |
111 |
$0.00 |
| 3008F |
|
51 |
49 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
18 |
12 |
$0.00 |