| Code | Description | Claims | Beneficiaries | Total Paid |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
178 |
162 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
200 |
173 |
$4K |
| S8301 |
Infection control supplies, not otherwise specified |
244 |
212 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
268 |
129 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
39 |
$948.10 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
101 |
98 |
$569.49 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
56 |
53 |
$222.02 |
| 97802 |
|
39 |
39 |
$30.31 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
39 |
39 |
$0.00 |
| 99051 |
|
22 |
22 |
$0.00 |