| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,670 |
4,171 |
$287K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,025 |
3,537 |
$164K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,459 |
2,990 |
$126K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,554 |
1,397 |
$90K |
| 87428 |
|
1,956 |
1,525 |
$90K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,060 |
1,725 |
$55K |
| 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 |
706 |
563 |
$36K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,059 |
2,645 |
$25K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,050 |
871 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,756 |
740 |
$13K |
| 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 |
706 |
563 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
228 |
163 |
$3K |
| 81025 |
|
288 |
251 |
$1K |
| 81003 |
|
852 |
770 |
$1K |
| 90686 |
|
71 |
55 |
$454.58 |
| 71046 |
Radiologic examination, chest; 2 views |
19 |
15 |
$335.75 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
61 |
57 |
$197.08 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
13 |
$144.18 |
| 87081 |
|
17 |
15 |
$79.36 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
15 |
12 |
$60.00 |
| H0033 |
Oral medication administration, direct observation |
106 |
98 |
$36.00 |
| 99000 |
|
73 |
60 |
$15.45 |
| A9150 |
Non-prescription drugs |
107 |
87 |
$7.18 |
| 91301 |
|
15 |
12 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
16 |
15 |
$0.00 |