| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
245 |
225 |
$38K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
206 |
194 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
58 |
57 |
$754.32 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
231 |
214 |
$566.30 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
23 |
12 |
$531.70 |