| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,369 |
3,021 |
$352K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,309 |
3,120 |
$300K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,736 |
2,688 |
$260K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,800 |
1,705 |
$195K |
| 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 |
1,105 |
1,058 |
$79K |
| 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 |
1,086 |
1,039 |
$27K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
699 |
336 |
$10K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
350 |
337 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,873 |
1,581 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
406 |
362 |
$3K |
| 99441 |
|
34 |
34 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
117 |
116 |
$2K |
| 81025 |
|
121 |
95 |
$445.50 |
| 98967 |
|
12 |
12 |
$329.80 |
| 81003 |
|
226 |
164 |
$186.04 |
| 87428 |
|
110 |
100 |
$171.29 |
| H0033 |
Oral medication administration, direct observation |
49 |
48 |
$0.00 |