| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,801 |
2,576 |
$131K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
288 |
269 |
$20K |
| 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 |
158 |
138 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
59 |
56 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
566 |
543 |
$4K |
| 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 |
113 |
101 |
$2K |
| 3074F |
|
1,295 |
1,236 |
$2K |
| 87428 |
|
29 |
29 |
$956.73 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$558.87 |
| 96127 |
|
157 |
147 |
$540.39 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
209 |
191 |
$233.40 |
| 1160F |
|
1,722 |
1,651 |
$162.00 |
| 3078F |
|
925 |
888 |
$87.00 |
| 1125F |
|
464 |
445 |
$54.00 |
| 1126F |
|
379 |
365 |
$42.00 |
| 3079F |
|
104 |
98 |
$6.00 |
| 3008F |
|
1,015 |
977 |
$0.00 |
| 1157F |
|
148 |
138 |
$0.00 |
| 1111F |
|
386 |
371 |
$0.00 |
| 1170F |
|
518 |
505 |
$0.00 |
| 3288F |
|
1,689 |
1,612 |
$0.00 |
| 3725F |
|
1,257 |
1,202 |
$0.00 |
| 1159F |
|
771 |
751 |
$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) |
14 |
12 |
$0.00 |