| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99499 |
|
10,481 |
6,630 |
$951K |
| 99199 |
Unlisted special service, procedure or report |
5,474 |
2,460 |
$482K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
5,352 |
3,664 |
$82K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,606 |
2,976 |
$62K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,500 |
1,260 |
$44K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,479 |
1,735 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,039 |
874 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
892 |
745 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
87 |
69 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
14 |
14 |
$558.61 |
| 87400 |
|
76 |
37 |
$544.35 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21 |
15 |
$100.24 |
| 86328 |
|
62 |
29 |
$90.46 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
124 |
74 |
$51.31 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18 |
12 |
$0.00 |