| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,076 |
4,501 |
$350K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,494 |
4,006 |
$245K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,660 |
3,409 |
$238K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,894 |
1,810 |
$164K |
| 87428 |
|
1,610 |
1,335 |
$58K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,761 |
1,546 |
$37K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,606 |
3,172 |
$25K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,873 |
774 |
$21K |
| 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 |
729 |
651 |
$19K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
350 |
299 |
$17K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
465 |
433 |
$11K |
| 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 |
727 |
649 |
$5K |
| 81025 |
|
203 |
198 |
$835.50 |
| 0011A |
|
17 |
17 |
$680.00 |
| 81003 |
|
271 |
246 |
$360.66 |
| 90686 |
|
33 |
32 |
$275.34 |
| 73610 |
|
14 |
13 |
$204.75 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
37 |
32 |
$137.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
41 |
40 |
$130.00 |
| 87081 |
|
13 |
13 |
$64.48 |
| H0033 |
Oral medication administration, direct observation |
215 |
206 |
$39.05 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
57 |
52 |
$14.87 |
| A9150 |
Non-prescription drugs |
113 |
96 |
$11.82 |
| 99000 |
|
17 |
15 |
$1.00 |
| 91300 |
|
17 |
17 |
$0.10 |
| 91301 |
|
17 |
17 |
$0.00 |