| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
6,166 |
5,232 |
$193K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,883 |
4,198 |
$140K |
| 99205 |
Prolong outpt/office vis |
1,886 |
1,745 |
$114K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,402 |
1,377 |
$59K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,152 |
1,915 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,678 |
1,457 |
$57K |
| 99000 |
|
4,933 |
4,343 |
$37K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,667 |
1,803 |
$27K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
653 |
566 |
$21K |
| 87428 |
|
453 |
432 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
280 |
276 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,382 |
1,295 |
$11K |
| 99215 |
Prolong outpt/office vis |
194 |
168 |
$11K |
| 99050 |
|
1,045 |
990 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
838 |
782 |
$8K |
| 86328 |
|
68 |
53 |
$1K |
| 99001 |
|
745 |
560 |
$881.80 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
452 |
428 |
$800.18 |
| 87807 |
|
46 |
44 |
$271.70 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
20 |
19 |
$98.25 |
| 81005 |
|
30 |
29 |
$33.46 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
287 |
269 |
$19.55 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
217 |
196 |
$0.00 |
| 36416 |
|
66 |
50 |
$0.00 |
| 99072 |
|
402 |
328 |
$0.00 |