| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,329 |
5,156 |
$272K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,866 |
1,565 |
$131K |
| 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 |
530 |
499 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
173 |
157 |
$14K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
185 |
155 |
$9K |
| 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 |
480 |
453 |
$8K |
| 3074F |
|
3,379 |
2,957 |
$6K |
| 87428 |
|
207 |
187 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
325 |
302 |
$2K |
| 96127 |
|
310 |
301 |
$1K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
882 |
802 |
$1K |
| 3075F |
|
253 |
215 |
$598.00 |
| 81002 |
|
225 |
217 |
$356.41 |
| 1160F |
|
4,464 |
3,862 |
$306.00 |
| 3078F |
|
2,596 |
2,268 |
$174.00 |
| 1125F |
|
2,586 |
2,226 |
$150.00 |
| 1126F |
|
1,001 |
845 |
$87.00 |
| 3079F |
|
925 |
790 |
$45.00 |
| 1159F |
|
2,015 |
1,785 |
$0.00 |
| 3725F |
|
3,658 |
3,184 |
$0.00 |
| 3288F |
|
4,447 |
3,873 |
$0.00 |
| G0382 |
Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) |
75 |
69 |
$0.00 |
| 1111F |
|
1,145 |
964 |
$0.00 |
| 3008F |
|
2,658 |
2,268 |
$0.00 |
| 1170F |
|
1,211 |
992 |
$0.00 |
| 1157F |
|
57 |
43 |
$0.00 |