| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
139 |
137 |
$7K |
| 0001A |
|
104 |
104 |
$4K |
| 0002A |
|
103 |
103 |
$4K |
| 90686 |
|
166 |
144 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
199 |
176 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31 |
25 |
$960.44 |
| 0004A |
|
23 |
22 |
$880.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26 |
26 |
$804.55 |
| 0003A |
|
15 |
15 |
$600.00 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$36.60 |