| Code | Description | Claims | Bene. Records | Total Paid |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
132 |
132 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
85 |
85 |
$380.54 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39 |
39 |
$290.29 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
12 |
$0.00 |