| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
649 |
440 |
$63K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
344 |
273 |
$35K |
| 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 |
300 |
172 |
$29K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
347 |
338 |
$11K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
347 |
338 |
$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 |
378 |
238 |
$9K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
137 |
124 |
$9K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
382 |
380 |
$8K |
| 80061 |
Lipid panel |
711 |
707 |
$8K |
| 84443 |
Thyroid stimulating hormone (TSH) |
591 |
584 |
$8K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
175 |
144 |
$7K |
| 99334 |
|
1,126 |
1,028 |
$6K |
| 80053 |
Comprehensive metabolic panel |
681 |
661 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
662 |
659 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
846 |
824 |
$5K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
214 |
214 |
$4K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
229 |
153 |
$4K |
| 99201 |
|
53 |
44 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
306 |
187 |
$2K |
| 99335 |
|
119 |
119 |
$2K |
| 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 |
215 |
107 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
88 |
40 |
$960.00 |
| 86592 |
|
244 |
240 |
$852.44 |
| 86480 |
|
24 |
24 |
$770.56 |
| 81001 |
|
194 |
192 |
$462.59 |
| 82043 |
|
86 |
86 |
$406.40 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
53 |
50 |
$377.16 |
| 93000 |
|
13 |
13 |
$373.10 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
16 |
16 |
$352.50 |
| 84439 |
|
40 |
40 |
$298.60 |
| 92552 |
|
18 |
18 |
$173.10 |
| 86803 |
|
13 |
13 |
$163.41 |
| 83655 |
|
14 |
14 |
$148.82 |
| 82570 |
|
24 |
24 |
$107.87 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
43 |
43 |
$92.70 |
| 94760 |
|
12 |
12 |
$67.08 |
| 90658 |
|
32 |
32 |
$9.00 |
| 90685 |
|
18 |
18 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
48 |
43 |
$0.00 |
| 85018 |
|
125 |
125 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
840 |
771 |
$0.00 |
| 82962 |
|
92 |
90 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
242 |
230 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
115 |
114 |
$0.00 |
| 97802 |
|
28 |
26 |
$0.00 |
| 90686 |
|
39 |
39 |
$0.00 |
| 99441 |
|
12 |
12 |
$0.00 |