| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,100 |
3,825 |
$424K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
132 |
122 |
$17K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
182 |
182 |
$4K |
| 93000 |
|
287 |
281 |
$4K |
| 94060 |
|
71 |
70 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
48 |
42 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
117 |
103 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
86 |
41 |
$1K |
| 99401 |
|
89 |
85 |
$685.24 |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
19 |
16 |
$300.00 |
| 81002 |
|
111 |
107 |
$225.70 |
| 3074F |
|
87 |
78 |
$200.00 |
| 3078F |
|
87 |
77 |
$197.50 |
| 36415 |
Collection of venous blood by venipuncture |
1,811 |
1,623 |
$135.33 |
| 80053 |
Comprehensive metabolic panel |
12 |
12 |
$120.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$38.04 |