| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
1,577 |
1,523 |
$529K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,811 |
3,556 |
$303K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,074 |
2,852 |
$226K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,291 |
2,248 |
$192K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
4,237 |
3,821 |
$82K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
713 |
705 |
$66K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
823 |
798 |
$55K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
553 |
482 |
$31K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,896 |
2,316 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,481 |
2,408 |
$13K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
130 |
129 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
21 |
$1K |
| 0071A |
|
16 |
16 |
$640.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
207 |
189 |
$440.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
106 |
94 |
$150.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
42 |
42 |
$11.52 |
| 99051 |
|
2,645 |
2,525 |
$7.00 |
| 81002 |
|
12 |
12 |
$0.00 |
| 87634 |
|
24 |
24 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
23 |
23 |
$0.00 |
| 90686 |
|
31 |
31 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
76 |
74 |
$0.00 |
| 87807 |
|
55 |
55 |
$0.00 |