| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
256 |
146 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
164 |
144 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
405 |
287 |
$9K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
178 |
164 |
$7K |
| 99401 |
|
157 |
155 |
$4K |
| 0071A |
|
63 |
63 |
$3K |
| 0001A |
|
51 |
39 |
$2K |
| 0002A |
|
43 |
29 |
$2K |
| 0072A |
|
42 |
42 |
$2K |
| 0064A |
|
63 |
63 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$1K |
| 0003A |
|
25 |
25 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
13 |
$884.95 |
| 0004A |
|
21 |
21 |
$584.62 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
16 |
13 |
$18.74 |