| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87631 |
|
50 |
50 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
60 |
58 |
$4K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
31 |
31 |
$4K |
| 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 |
33 |
33 |
$2K |
| 0064A |
|
49 |
49 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
42 |
40 |
$2K |
| 0011A |
|
35 |
35 |
$1K |
| 0012A |
|
30 |
30 |
$1K |
| 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 |
45 |
45 |
$1K |
| 90688 |
|
100 |
95 |
$1K |
| 90756 |
|
38 |
26 |
$953.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$541.42 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
13 |
$520.32 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
13 |
13 |
$386.40 |
| 0001A |
|
14 |
14 |
$220.22 |