| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,914 |
1,771 |
$197K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,153 |
1,119 |
$128K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,302 |
1,267 |
$123K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,210 |
1,139 |
$115K |
| 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 |
933 |
881 |
$67K |
| 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 |
933 |
881 |
$23K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
628 |
619 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,581 |
1,439 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
405 |
374 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
532 |
254 |
$3K |
| 87428 |
|
58 |
57 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
104 |
104 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
196 |
87 |
$1K |
| 81025 |
|
193 |
171 |
$631.42 |
| 81003 |
|
365 |
330 |
$263.27 |
| H0033 |
Oral medication administration, direct observation |
126 |
114 |
$0.00 |