| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,811 |
1,609 |
$169K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,180 |
1,049 |
$145K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,690 |
1,477 |
$109K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,279 |
1,125 |
$103K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
196 |
162 |
$51K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
364 |
298 |
$36K |
| 99051 |
|
1,726 |
1,526 |
$14K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
1,950 |
1,750 |
$7K |
| 87486 |
|
213 |
172 |
$4K |
| 87581 |
|
213 |
172 |
$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 |
74 |
47 |
$3K |
| 87541 |
|
83 |
76 |
$2K |
| 87640 |
|
93 |
64 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
61 |
54 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
57 |
52 |
$1K |
| 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 |
74 |
47 |
$960.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
16 |
$790.74 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
16 |
13 |
$565.22 |
| 87481 |
|
28 |
24 |
$508.75 |
| 36415 |
Collection of venous blood by venipuncture |
69 |
56 |
$302.68 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
14 |
$197.02 |
| 81003 |
|
112 |
105 |
$148.58 |
| 99000 |
|
14 |
14 |
$0.00 |