| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90961 |
|
1,721 |
1,720 |
$69K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
319 |
302 |
$31K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
891 |
760 |
$24K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
115 |
115 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
145 |
129 |
$4K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
129 |
90 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,630 |
1,265 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,464 |
1,146 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48 |
44 |
$2K |
| 1111F |
|
310 |
267 |
$934.00 |
| 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 |
110 |
75 |
$209.85 |
| 3078F |
|
183 |
165 |
$141.50 |
| 3074F |
|
197 |
175 |
$117.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$105.00 |
| 86328 |
|
125 |
120 |
$54.23 |
| 3077F |
|
30 |
28 |
$50.00 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
15 |
$17.40 |
| 1159F |
|
208 |
182 |
$1.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
87 |
77 |
$0.00 |
| 1126F |
|
70 |
63 |
$0.00 |
| 3079F |
|
15 |
14 |
$0.00 |
| 0521F |
|
105 |
96 |
$0.00 |