| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,432 |
1,637 |
$419K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,425 |
981 |
$247K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,682 |
1,552 |
$92K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
715 |
693 |
$55K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
255 |
172 |
$48K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
239 |
222 |
$19K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
208 |
158 |
$13K |
| 90837 |
Psychotherapy, 53 minutes with patient |
135 |
61 |
$9K |
| 95117 |
|
750 |
300 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
283 |
281 |
$5K |
| 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 |
102 |
80 |
$4K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,011 |
694 |
$4K |
| 99441 |
|
240 |
237 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
37 |
37 |
$3K |
| 99442 |
|
144 |
141 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
323 |
318 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$2K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
26 |
24 |
$2K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
119 |
104 |
$2K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
199 |
131 |
$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 |
102 |
80 |
$2K |
| 99215 |
Prolong outpt/office vis |
107 |
52 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
26 |
26 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
36 |
36 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
92 |
55 |
$1K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
12 |
12 |
$570.77 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
13 |
12 |
$317.63 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$196.04 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
462 |
359 |
$120.82 |
| 80053 |
Comprehensive metabolic panel |
195 |
169 |
$79.80 |
| 36415 |
Collection of venous blood by venipuncture |
46 |
37 |
$51.60 |
| A9270 |
Non-covered item or service |
147 |
119 |
$0.00 |
| J3490 |
Unclassified drugs |
38 |
25 |
$0.00 |
| 81001 |
|
15 |
12 |
$0.00 |
| 81003 |
|
14 |
14 |
$0.00 |