| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
596 |
410 |
$49K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
312 |
259 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
196 |
165 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
215 |
160 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
162 |
130 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
71 |
49 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
86 |
60 |
$3K |
| 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 |
20 |
15 |
$2K |
| 80305 |
|
156 |
141 |
$1K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
15 |
12 |
$769.65 |
| 99386 |
|
13 |
13 |
$696.16 |
| A4927 |
Gloves, non-sterile, per 100 |
32 |
29 |
$241.18 |
| 36415 |
Collection of venous blood by venipuncture |
18 |
16 |
$0.00 |
| S5175 |
Laundry service, external, professional; per order |
16 |
13 |
$0.00 |
| A9270 |
Non-covered item or service |
16 |
13 |
$0.00 |
| E0700 |
Safety equipment, device or accessory, any type |
16 |
13 |
$0.00 |
| A4928 |
Surgical mask, per 20 |
16 |
13 |
$0.00 |
| 99072 |
|
19 |
13 |
$0.00 |
| A4245 |
Alcohol wipes, per box |
16 |
13 |
$0.00 |