| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,932 |
2,379 |
$155K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,997 |
1,858 |
$105K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,724 |
1,510 |
$66K |
| 86328 |
|
1,371 |
930 |
$61K |
| 99493 |
|
747 |
695 |
$57K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,076 |
844 |
$56K |
| 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 |
277 |
167 |
$21K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
247 |
238 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
354 |
283 |
$13K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
287 |
280 |
$12K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
27 |
14 |
$12K |
| 99205 |
Prolong outpt/office vis |
110 |
104 |
$12K |
| 99215 |
Prolong outpt/office vis |
184 |
157 |
$11K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
284 |
279 |
$9K |
| 99492 |
|
122 |
115 |
$8K |
| 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 |
286 |
180 |
$7K |
| 99000 |
|
877 |
587 |
$6K |
| 0011A |
|
88 |
88 |
$4K |
| 0012A |
|
62 |
60 |
$3K |
| 0071A |
|
50 |
48 |
$2K |
| 0001A |
|
37 |
32 |
$2K |
| 0004A |
|
27 |
26 |
$1K |
| 0002A |
|
21 |
17 |
$884.94 |
| 99072 |
|
1,110 |
819 |
$689.70 |
| 0072A |
|
16 |
16 |
$674.24 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
18 |
15 |
$392.00 |
| 36416 |
|
164 |
121 |
$172.20 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
13 |
12 |
$136.20 |
| 99070 |
|
195 |
184 |
$60.00 |
| 91300 |
|
70 |
61 |
$0.01 |
| 91301 |
|
117 |
111 |
$0.00 |
| 91303 |
|
38 |
37 |
$0.00 |