| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,536 |
9,032 |
$468K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,273 |
1,912 |
$136K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,790 |
1,603 |
$101K |
| 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 |
1,510 |
1,418 |
$67K |
| 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 |
1,263 |
1,204 |
$21K |
| 87428 |
|
684 |
614 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,983 |
1,826 |
$14K |
| 3074F |
|
5,834 |
5,363 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
246 |
186 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
131 |
108 |
$2K |
| 96127 |
|
372 |
358 |
$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 |
2,269 |
2,112 |
$1K |
| 81002 |
|
849 |
762 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
86 |
72 |
$811.82 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
21 |
13 |
$581.64 |
| 1160F |
|
7,696 |
7,006 |
$555.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
34 |
20 |
$436.18 |
| 3075F |
|
203 |
177 |
$359.00 |
| 3078F |
|
4,453 |
4,107 |
$330.00 |
| 1125F |
|
3,351 |
3,082 |
$240.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
12 |
12 |
$229.65 |
| 81025 |
|
58 |
46 |
$173.56 |
| 1126F |
|
1,819 |
1,648 |
$162.00 |
| 3077F |
|
192 |
175 |
$120.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
27 |
$115.70 |
| 3079F |
|
1,276 |
1,124 |
$69.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
131 |
121 |
$58.69 |
| 1157F |
|
719 |
614 |
$30.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
19 |
15 |
$14.33 |
| 3288F |
|
7,375 |
6,780 |
$0.00 |
| 1159F |
|
3,599 |
3,363 |
$0.00 |
| 3725F |
|
5,322 |
4,908 |
$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) |
210 |
187 |
$0.00 |
| 3008F |
|
4,039 |
3,759 |
$0.00 |
| 1111F |
|
1,777 |
1,539 |
$0.00 |
| 1170F |
|
1,836 |
1,654 |
$0.00 |
| 4010F |
|
33 |
31 |
$0.00 |
| 3080F |
|
139 |
130 |
$0.00 |