| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,080 |
3,680 |
$262K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,634 |
5,063 |
$242K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,834 |
2,587 |
$108K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,362 |
1,256 |
$80K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,338 |
2,118 |
$69K |
| 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 |
775 |
695 |
$48K |
| 87428 |
|
1,007 |
837 |
$48K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,580 |
2,302 |
$20K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
762 |
703 |
$17K |
| 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 |
775 |
695 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
919 |
433 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
309 |
237 |
$4K |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$972.96 |
| 0012A |
|
21 |
20 |
$680.00 |
| 81003 |
|
540 |
499 |
$626.19 |
| 0011A |
|
15 |
14 |
$520.00 |
| 81025 |
|
37 |
29 |
$179.18 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
15 |
$148.82 |
| 87807 |
|
19 |
15 |
$136.12 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
82 |
80 |
$70.30 |
| H0033 |
Oral medication administration, direct observation |
180 |
172 |
$63.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
16 |
14 |
$2.71 |
| 91300 |
|
14 |
14 |
$0.00 |
| 91301 |
|
47 |
44 |
$0.00 |