| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,524 |
2,329 |
$227K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
800 |
751 |
$96K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
360 |
354 |
$48K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
365 |
365 |
$42K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,371 |
1,332 |
$32K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
295 |
283 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
146 |
146 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
119 |
119 |
$15K |
| 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 |
33 |
33 |
$2K |
| 92551 |
|
223 |
222 |
$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 |
46 |
46 |
$1K |
| 87634 |
|
14 |
13 |
$982.80 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
26 |
26 |
$854.87 |
| 96127 |
|
126 |
125 |
$679.29 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
15 |
$496.50 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
26 |
26 |
$289.74 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
18 |
$271.98 |
| 85018 |
|
102 |
101 |
$234.63 |
| 83655 |
|
12 |
12 |
$145.32 |
| 90686 |
|
358 |
358 |
$128.16 |
| 87070 |
|
14 |
14 |
$120.68 |
| 96160 |
|
72 |
71 |
$3.08 |
| 90670 |
|
93 |
93 |
$0.00 |
| 99173 |
|
14 |
14 |
$0.00 |
| 99080 |
|
228 |
38 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 36416 |
|
118 |
117 |
$0.00 |