| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,478 |
2,291 |
$245K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,236 |
2,136 |
$155K |
| 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 |
1,831 |
1,720 |
$132K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,523 |
1,490 |
$120K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
736 |
731 |
$82K |
| 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 |
1,816 |
1,705 |
$45K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
657 |
636 |
$12K |
| 87428 |
|
472 |
461 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
474 |
440 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
851 |
812 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,080 |
510 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,343 |
1,260 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
35 |
35 |
$715.75 |
| 81025 |
|
111 |
101 |
$385.08 |
| 0124A |
|
15 |
15 |
$320.00 |
| 81003 |
|
254 |
231 |
$174.48 |
| 71046 |
Radiologic examination, chest; 2 views |
50 |
48 |
$14.06 |
| H0033 |
Oral medication administration, direct observation |
39 |
30 |
$0.20 |
| 91312 |
|
15 |
15 |
$0.00 |
| 91301 |
|
13 |
13 |
$0.00 |
| 90686 |
|
33 |
33 |
$0.00 |