| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
8,726 |
6,832 |
$117K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,078 |
963 |
$80K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
6,996 |
5,677 |
$79K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,256 |
1,162 |
$69K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
525 |
513 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,001 |
520 |
$29K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
524 |
477 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
123 |
122 |
$12K |
| 99215 |
Prolong outpt/office vis |
50 |
49 |
$6K |
| 99000 |
|
699 |
382 |
$4K |
| 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 |
35 |
26 |
$2K |
| 99406 |
|
96 |
74 |
$717.66 |
| 11901 |
|
19 |
17 |
$653.12 |
| 17110 |
|
15 |
14 |
$592.52 |
| 0002A |
|
13 |
13 |
$492.05 |
| 36415 |
Collection of venous blood by venipuncture |
153 |
140 |
$489.95 |
| 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 |
23 |
14 |
$414.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
13 |
$351.00 |
| 96127 |
|
128 |
126 |
$320.81 |
| 90686 |
|
14 |
14 |
$262.78 |
| 87807 |
|
12 |
12 |
$131.29 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
38 |
32 |
$105.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$102.55 |
| Q3014 |
Telehealth originating site facility fee |
33 |
27 |
$53.94 |
| 3079F |
|
299 |
280 |
$0.00 |
| 3074F |
|
792 |
742 |
$0.00 |
| 1125F |
|
101 |
94 |
$0.00 |
| 1111F |
|
184 |
171 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
461 |
445 |
$0.00 |
| 3080F |
|
80 |
78 |
$0.00 |
| 1126F |
|
223 |
207 |
$0.00 |
| 3075F |
|
107 |
102 |
$0.00 |
| 1159F |
|
793 |
734 |
$0.00 |
| 99072 |
|
102 |
39 |
$0.00 |
| 3078F |
|
610 |
572 |
$0.00 |
| 3077F |
|
123 |
116 |
$0.00 |
| 91300 |
|
19 |
18 |
$0.00 |