| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
285 |
232 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
392 |
364 |
$8K |
| 0001A |
|
177 |
177 |
$6K |
| 0002A |
|
142 |
142 |
$6K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
15 |
12 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
62 |
58 |
$3K |
| 0510 |
|
41 |
34 |
$3K |
| 0250 |
|
151 |
56 |
$2K |
| 86780 |
|
155 |
152 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
169 |
148 |
$2K |
| 0003A |
|
45 |
45 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
199 |
142 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
264 |
240 |
$1K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
98 |
96 |
$982.75 |
| 87535 |
|
53 |
53 |
$662.52 |
| 86593 |
|
136 |
134 |
$476.12 |
| 80076 |
|
74 |
64 |
$322.86 |
| 86702 |
|
53 |
53 |
$250.03 |
| 86592 |
|
117 |
113 |
$227.78 |
| 86701 |
|
53 |
53 |
$165.72 |
| 80053 |
Comprehensive metabolic panel |
17 |
15 |
$129.12 |
| 36415 |
Collection of venous blood by venipuncture |
753 |
702 |
$31.23 |