| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,647 |
1,548 |
$577K |
| 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 |
10,111 |
4,827 |
$524K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
476 |
418 |
$362K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,742 |
4,412 |
$169K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,353 |
3,409 |
$128K |
| 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 |
8,481 |
3,789 |
$115K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
187 |
122 |
$95K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,856 |
3,684 |
$76K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
813 |
777 |
$44K |
| 87400 |
|
2,379 |
2,290 |
$44K |
| 99215 |
Prolong outpt/office vis |
295 |
286 |
$18K |
| 80053 |
Comprehensive metabolic panel |
1,800 |
1,560 |
$14K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
727 |
529 |
$14K |
| 93228 |
|
20 |
17 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,987 |
1,717 |
$7K |
| 0002A |
|
164 |
163 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
102 |
91 |
$3K |
| 0001A |
|
204 |
198 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
26 |
$2K |
| 82948 |
|
459 |
346 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
3,048 |
2,622 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
17 |
17 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
99 |
89 |
$1K |
| 94760 |
|
50 |
40 |
$1K |
| J3490 |
Unclassified drugs |
470 |
306 |
$1K |
| 80061 |
Lipid panel |
142 |
140 |
$908.13 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
15 |
$744.58 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
192 |
183 |
$635.88 |
| 81002 |
|
211 |
193 |
$447.27 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$420.80 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,129 |
863 |
$327.94 |
| 80050 |
General health panel |
47 |
47 |
$271.52 |
| 87807 |
|
13 |
13 |
$252.66 |
| 96160 |
|
57 |
56 |
$229.00 |
| Q3014 |
Telehealth originating site facility fee |
12 |
12 |
$226.46 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
30 |
30 |
$207.18 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
32 |
27 |
$132.85 |
| 84445 |
|
119 |
117 |
$92.75 |
| 83690 |
|
12 |
12 |
$86.98 |
| 81003 |
|
110 |
97 |
$75.34 |
| 90686 |
|
44 |
44 |
$0.14 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
75 |
74 |
$0.00 |
| 91301 |
|
50 |
49 |
$0.00 |
| 81015 |
|
13 |
12 |
$0.00 |
| 0011A |
|
27 |
27 |
$0.00 |
| 0012A |
|
12 |
12 |
$0.00 |
| 91300 |
|
430 |
379 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
39 |
36 |
$0.00 |
| 0003A |
|
15 |
15 |
$0.00 |
| 0013A |
|
13 |
13 |
$0.00 |