| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
150 |
128 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
218 |
214 |
$811.22 |
| 86328 |
|
77 |
66 |
$768.91 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
247 |
242 |
$344.50 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46 |
39 |
$98.18 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
590 |
488 |
$92.49 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
152 |
142 |
$44.53 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
36 |
33 |
$0.00 |
| 82962 |
|
14 |
13 |
$0.00 |
| 99199 |
Unlisted special service, procedure or report |
147 |
125 |
$0.00 |
| 99072 |
|
158 |
138 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
49 |
25 |
$0.00 |
| 99051 |
|
27 |
25 |
$0.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
36 |
33 |
$0.00 |