| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
2,662 |
1,415 |
$228K |
| 0013A |
|
636 |
630 |
$7K |
| 0134A |
|
166 |
132 |
$3K |
| M0201 |
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home |
170 |
144 |
$3K |
| 0012A |
|
209 |
198 |
$3K |
| 0011A |
|
172 |
167 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
135 |
131 |
$1K |
| 90688 |
|
67 |
67 |
$1K |
| 0064A |
|
46 |
46 |
$909.32 |
| 0124A |
|
39 |
38 |
$615.30 |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
189 |
177 |
$505.00 |
| 0031A |
|
32 |
30 |
$462.17 |
| 90686 |
|
16 |
16 |
$335.25 |
| 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 |
1,556 |
953 |
$240.00 |
| 0034A |
|
15 |
15 |
$189.88 |
| 0003A |
|
20 |
20 |
$160.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,388 |
887 |
$104.82 |
| 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 |
1,546 |
936 |
$75.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
458 |
414 |
$70.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
463 |
423 |
$54.42 |
| 0002A |
|
20 |
20 |
$40.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
71 |
71 |
$7.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
197 |
184 |
$0.00 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
131 |
56 |
$0.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
317 |
196 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
423 |
378 |
$0.00 |
| A9276 |
Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply |
41 |
40 |
$0.00 |
| 99439 |
|
53 |
53 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
215 |
56 |
$0.00 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
43 |
12 |
$0.00 |
| 98943 |
|
33 |
12 |
$0.00 |
| 3074F |
|
78 |
65 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
153 |
146 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
42 |
41 |
$0.00 |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
113 |
101 |
$0.00 |
| J0401 |
Injection, aripiprazole (abilify maintena), 1 mg |
601 |
278 |
$0.00 |
| 3008F |
|
51 |
47 |
$0.00 |
| 3044F |
|
30 |
30 |
$0.00 |
| 99000 |
|
105 |
86 |
$0.00 |
| G2024 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source |
23 |
22 |
$0.00 |
| 98967 |
|
13 |
12 |
$0.00 |
| G9012 |
Other specified case management service not elsewhere classified |
197 |
197 |
$0.00 |
| 0001A |
|
14 |
14 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,604 |
865 |
$0.00 |
| J1944 |
Injection, aripiprazole lauroxil, (aristada), 1 mg |
234 |
118 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
496 |
204 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
258 |
77 |
$0.00 |
| S9430 |
Pharmacy compounding and dispensing services |
145 |
95 |
$0.00 |
| J2426 |
Injection, paliperidone palmitate extended release (invega sustenna), 1 mg |
1,411 |
673 |
$0.00 |
| S9083 |
Global fee urgent care centers |
86 |
85 |
$0.00 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
36 |
12 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
81 |
77 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
499 |
206 |
$0.00 |
| 98968 |
|
238 |
135 |
$0.00 |
| 70450 |
Computed tomography, head or brain; without contrast material |
17 |
17 |
$0.00 |
| A0425 |
Ground mileage, per statute mile |
204 |
190 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
80 |
80 |
$0.00 |
| A4927 |
Gloves, non-sterile, per 100 |
158 |
135 |
$0.00 |
| J1631 |
Injection, haloperidol decanoate, per 50 mg |
234 |
79 |
$0.00 |
| 99490 |
Ccm add 20min |
140 |
140 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
27 |
$0.00 |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
129 |
117 |
$0.00 |
| 99223 |
Prolong inpt eval add15 m |
17 |
13 |
$0.00 |
| 3078F |
|
41 |
33 |
$0.00 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
13 |
13 |
$0.00 |
| 73630 |
|
14 |
13 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
81 |
37 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
61 |
53 |
$0.00 |
| 3046F |
|
12 |
12 |
$0.00 |