| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
182 |
123 |
$497.53 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
137 |
130 |
$257.57 |
| 36415 |
Collection of venous blood by venipuncture |
72 |
55 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40 |
13 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
70 |
46 |
$0.00 |
| 99050 |
|
230 |
157 |
$0.00 |