| 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 |
1,691 |
1,320 |
$85K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,188 |
965 |
$85K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,619 |
1,358 |
$77K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
926 |
761 |
$65K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,208 |
1,019 |
$56K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,647 |
1,334 |
$53K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
2,128 |
1,728 |
$50K |
| 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 |
604 |
470 |
$45K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
515 |
472 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
610 |
569 |
$26K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
343 |
273 |
$8K |
| 99385 |
|
112 |
92 |
$7K |
| 99384 |
|
68 |
52 |
$5K |
| 99383 |
|
45 |
37 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
147 |
102 |
$3K |
| 99386 |
|
40 |
37 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
69 |
65 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
122 |
103 |
$2K |
| A4927 |
Gloves, non-sterile, per 100 |
232 |
199 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
67 |
17 |
$470.88 |
| 87807 |
|
41 |
30 |
$301.80 |
| 93000 |
|
13 |
13 |
$160.94 |