| Code | Description | Claims | Beneficiaries | Total Paid |
| 62323 |
|
422 |
366 |
$224K |
| 99204 |
|
145 |
144 |
$22K |
| A4550 |
Surgical trays |
71 |
61 |
$15K |
| 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 |
38 |
37 |
$5K |
| 97110 |
|
65 |
25 |
$4K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
126 |
126 |
$2K |
| 94760 |
|
36 |
26 |
$1K |
| 99213 |
|
14 |
14 |
$819.52 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
13 |
12 |
$139.50 |