| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,417 |
3,012 |
$168K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,545 |
1,453 |
$135K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,955 |
1,833 |
$133K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,251 |
2,124 |
$94K |
| 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 |
4,487 |
1,865 |
$71K |
| 87428 |
|
470 |
442 |
$18K |
| 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 |
4,484 |
1,864 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
856 |
810 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
193 |
183 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
318 |
278 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
166 |
77 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
60 |
53 |
$982.71 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
73 |
72 |
$926.67 |
| 90686 |
|
63 |
62 |
$832.29 |
| 99000 |
|
211 |
180 |
$666.75 |
| 81025 |
|
13 |
13 |
$84.11 |
| 81003 |
|
16 |
15 |
$31.50 |
| H0033 |
Oral medication administration, direct observation |
53 |
53 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
238 |
136 |
$0.00 |