| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,043 |
3,604 |
$237K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,375 |
2,971 |
$130K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,411 |
2,045 |
$85K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,252 |
1,147 |
$63K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,729 |
1,342 |
$39K |
| 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 |
456 |
393 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,443 |
2,129 |
$19K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
902 |
716 |
$16K |
| 87428 |
|
282 |
249 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,018 |
770 |
$12K |
| 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 |
456 |
393 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
13 |
$723.40 |
| 71046 |
Radiologic examination, chest; 2 views |
29 |
25 |
$424.62 |
| 81003 |
|
282 |
252 |
$328.32 |
| 87081 |
|
57 |
48 |
$252.96 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
42 |
38 |
$105.00 |
| 90686 |
|
16 |
16 |
$96.12 |
| 99000 |
|
64 |
49 |
$43.26 |
| H0033 |
Oral medication administration, direct observation |
28 |
25 |
$15.12 |
| A9150 |
Non-prescription drugs |
38 |
33 |
$2.90 |
| 91301 |
|
14 |
12 |
$0.01 |