| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
505 |
459 |
$31K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
454 |
412 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
114 |
99 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
163 |
106 |
$727.54 |
| 80053 |
Comprehensive metabolic panel |
79 |
51 |
$538.40 |
| 82575 |
|
79 |
51 |
$482.74 |
| 83735 |
|
79 |
51 |
$341.70 |
| 83615 |
|
79 |
51 |
$308.02 |
| 84100 |
|
79 |
51 |
$242.02 |
| 84550 |
|
79 |
51 |
$230.38 |
| 36415 |
Collection of venous blood by venipuncture |
64 |
52 |
$105.54 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
17 |
12 |
$20.96 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
17 |
12 |
$14.70 |