| Code | Description | Claims | Beneficiaries | Total Paid |
| 99241 |
|
368 |
214 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
343 |
247 |
$18K |
| 0012A |
|
71 |
70 |
$3K |
| 0011A |
|
57 |
53 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
88 |
47 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
61 |
46 |
$1K |
| 0001A |
|
19 |
19 |
$800.66 |
| 0002A |
|
14 |
14 |
$589.96 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
15 |
$529.95 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
32 |
14 |
$159.93 |
| 91301 |
|
70 |
66 |
$38.03 |
| 91300 |
|
30 |
30 |
$0.21 |