| Code | Description | Claims | Beneficiaries | Total Paid |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
150 |
96 |
$3K |
| 99215 |
Prolong outpt/office vis |
65 |
40 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
53 |
29 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
109 |
80 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
77 |
52 |
$1K |
| 93000 |
|
47 |
25 |
$525.64 |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
16 |
13 |
$440.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
42 |
16 |
$11.21 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
24 |
$0.00 |