| Code | Description | Claims | Beneficiaries | Total Paid |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
24 |
24 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
173 |
161 |
$7K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
38 |
34 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
64 |
58 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$684.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
46 |
23 |
$535.12 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13 |
13 |
$413.80 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
25 |
$262.60 |