| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,240 |
3,714 |
$255K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,591 |
3,096 |
$140K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,318 |
2,899 |
$121K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,661 |
1,489 |
$95K |
| 87428 |
|
1,419 |
1,059 |
$61K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,698 |
1,353 |
$43K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,719 |
2,338 |
$21K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,081 |
890 |
$20K |
| 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 |
292 |
266 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,055 |
819 |
$14K |
| 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 |
292 |
266 |
$6K |
| 81025 |
|
315 |
296 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
118 |
89 |
$1K |
| 0011A |
|
37 |
34 |
$1K |
| 81003 |
|
681 |
625 |
$891.36 |
| 71046 |
Radiologic examination, chest; 2 views |
38 |
24 |
$449.26 |
| 87807 |
|
47 |
41 |
$394.07 |
| 90686 |
|
48 |
42 |
$389.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
80 |
74 |
$266.84 |
| 87081 |
|
17 |
14 |
$79.36 |
| 99000 |
|
42 |
31 |
$46.35 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
27 |
12 |
$15.49 |
| A9150 |
Non-prescription drugs |
16 |
14 |
$1.07 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
76 |
61 |
$0.07 |
| 91301 |
|
38 |
35 |
$0.00 |