| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
263 |
222 |
$5K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
95 |
77 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20 |
13 |
$806.48 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
29 |
$629.60 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
20 |
17 |
$124.14 |
| 99000 |
|
17 |
13 |
$0.00 |
| 99072 |
|
28 |
26 |
$0.00 |