| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,416 |
2,552 |
$315K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,052 |
2,901 |
$259K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,898 |
1,902 |
$72K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,627 |
1,699 |
$56K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
5,153 |
3,271 |
$53K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
545 |
374 |
$33K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,642 |
1,081 |
$33K |
| 99051 |
|
1,317 |
1,202 |
$27K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,637 |
957 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,303 |
723 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
295 |
223 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,149 |
825 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
273 |
251 |
$9K |
| 87631 |
|
113 |
87 |
$6K |
| 99199 |
Unlisted special service, procedure or report |
2,169 |
2,061 |
$5K |
| 81002 |
|
281 |
193 |
$504.73 |
| 87807 |
|
53 |
33 |
$486.65 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
14 |
14 |
$132.08 |
| 99201 |
|
120 |
112 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
33 |
29 |
$0.00 |
| 99072 |
|
115 |
105 |
$0.00 |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
728 |
474 |
$0.00 |
| 99000 |
|
57 |
45 |
$0.00 |