| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,341 |
1,756 |
$231K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,250 |
640 |
$98K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
940 |
330 |
$85K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
692 |
472 |
$29K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,364 |
861 |
$17K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
321 |
229 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
17 |
17 |
$413.28 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
68 |
28 |
$180.48 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
19 |
$7.51 |
| 3078F |
|
2,033 |
994 |
$0.00 |
| 3079F |
|
192 |
82 |
$0.00 |
| 3074F |
|
2,927 |
1,407 |
$0.00 |
| 3075F |
|
23 |
12 |
$0.00 |