| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 64644 |
|
466 |
407 |
$286K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
50 |
43 |
$76K |
| 64643 |
|
155 |
115 |
$14K |
| 95873 |
|
308 |
263 |
$10K |
| 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 |
81 |
77 |
$10K |
| 64645 |
|
67 |
65 |
$6K |
| 99215 |
Prolong outpt/office vis |
16 |
16 |
$2K |
| 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 |
37 |
36 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$1K |