| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,326 |
925 |
$56K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
159 |
120 |
$8K |
| 99000 |
|
815 |
690 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
107 |
95 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
92 |
79 |
$3K |
| 99442 |
|
61 |
39 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
172 |
83 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
75 |
73 |
$986.19 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
80 |
57 |
$954.27 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
71 |
57 |
$870.23 |
| 99050 |
|
19 |
16 |
$261.06 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
106 |
74 |
$258.06 |
| A4927 |
Gloves, non-sterile, per 100 |
45 |
29 |
$77.80 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
12 |
$26.52 |
| A4554 |
Disposable underpads, all sizes |
18 |
13 |
$5.27 |
| 94760 |
|
16 |
14 |
$3.52 |
| 2000F |
|
27 |
25 |
$0.00 |
| 3008F |
|
34 |
16 |
$0.00 |
| 2010F |
|
27 |
25 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
41 |
35 |
$0.00 |