| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
415 |
367 |
$63K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
733 |
671 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
263 |
245 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
626 |
567 |
$3K |
| 0002A |
|
25 |
25 |
$1K |
| 0001A |
|
25 |
25 |
$1K |
| 0064A |
|
12 |
12 |
$545.53 |
| 90686 |
|
80 |
80 |
$476.05 |
| G0008 |
Administration of influenza virus vaccine |
49 |
49 |
$240.81 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
13 |
13 |
$0.00 |