| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
1,808 |
1,099 |
$136K |
| 99285 |
|
1,149 |
677 |
$100K |
| 99283 |
|
1,042 |
635 |
$99K |
| 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 |
1,965 |
1,234 |
$83K |
| 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 |
1,209 |
801 |
$21K |
| 96361 |
|
25 |
24 |
$13K |
| 0002A |
|
448 |
140 |
$12K |
| 97110 |
|
303 |
145 |
$9K |
| 0001A |
|
313 |
95 |
$8K |
| 80053 |
|
386 |
303 |
$7K |
| 99282 |
|
43 |
26 |
$4K |
| 99213 |
|
99 |
55 |
$3K |
| 0012A |
|
91 |
24 |
$2K |
| 0004A |
|
20 |
18 |
$1K |
| 85025 |
|
904 |
709 |
$1K |
| 0064A |
|
16 |
15 |
$1K |
| 84443 |
|
103 |
78 |
$1K |
| 97140 |
|
60 |
33 |
$1K |
| 87086 |
|
15 |
12 |
$810.51 |
| J3490 |
Unclassified drugs |
1,151 |
614 |
$777.53 |
| 77067 |
|
65 |
25 |
$762.96 |
| 99152 |
|
91 |
42 |
$708.44 |
| 86850 |
|
20 |
13 |
$633.84 |
| 97530 |
|
13 |
12 |
$322.59 |
| 99211 |
|
81 |
19 |
$284.20 |
| 84439 |
|
34 |
26 |
$193.31 |
| 86900 |
|
20 |
13 |
$79.79 |
| 36415 |
|
42 |
41 |
$68.76 |
| 86901 |
|
20 |
13 |
$36.20 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
33 |
24 |
$0.00 |
| A4649 |
Surgical supply; miscellaneous |
20 |
13 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
57 |
43 |
$0.00 |
| 96375 |
|
51 |
31 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
153 |
90 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
33 |
15 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
148 |
103 |
$0.00 |
| 96374 |
|
95 |
70 |
$0.00 |
| 80048 |
|
26 |
26 |
$0.00 |
| 77063 |
|
12 |
12 |
$0.00 |