| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,394 |
2,150 |
$253K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,096 |
1,997 |
$184K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,801 |
1,760 |
$162K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,339 |
1,274 |
$143K |
| 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 |
893 |
860 |
$63K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
851 |
828 |
$22K |
| 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 |
892 |
859 |
$22K |
| 87428 |
|
542 |
535 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,531 |
702 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,147 |
1,077 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
303 |
288 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,054 |
1,853 |
$6K |
| 81025 |
|
353 |
295 |
$885.36 |
| 71046 |
Radiologic examination, chest; 2 views |
73 |
37 |
$430.52 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$306.75 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
12 |
$158.39 |
| 81003 |
|
397 |
337 |
$128.85 |
| 91300 |
|
12 |
12 |
$0.00 |
| 90686 |
|
16 |
16 |
$0.00 |