| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,065 |
2,884 |
$164K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
378 |
368 |
$34K |
| 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 |
232 |
220 |
$13K |
| 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 |
211 |
202 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
422 |
410 |
$3K |
| 3074F |
|
1,359 |
1,315 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
46 |
43 |
$1K |
| 87428 |
|
30 |
30 |
$946.78 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
272 |
266 |
$273.30 |
| 96127 |
|
32 |
30 |
$113.46 |
| 1160F |
|
1,842 |
1,776 |
$105.00 |
| 1125F |
|
1,008 |
968 |
$51.00 |
| 3078F |
|
866 |
843 |
$45.00 |
| 1126F |
|
284 |
278 |
$24.00 |
| 81002 |
|
12 |
12 |
$12.27 |
| G0382 |
Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) |
115 |
108 |
$0.00 |
| 3288F |
|
1,937 |
1,871 |
$0.00 |
| 3725F |
|
1,466 |
1,415 |
$0.00 |
| 1159F |
|
935 |
905 |
$0.00 |
| G0381 |
Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) |
15 |
12 |
$0.00 |
| 3079F |
|
232 |
222 |
$0.00 |
| 1111F |
|
435 |
423 |
$0.00 |
| 1170F |
|
552 |
527 |
$0.00 |
| 3008F |
|
1,043 |
1,002 |
$0.00 |
| 1157F |
|
45 |
42 |
$0.00 |