| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
163 |
162 |
$237.05 |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
155 |
150 |
$156.63 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
175 |
158 |
$80.56 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
262 |
250 |
$66.34 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
171 |
159 |
$51.31 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
33 |
22 |
$38.90 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
221 |
215 |
$17.92 |
| 86769 |
|
111 |
106 |
$0.00 |
| 99000 |
|
18 |
18 |
$0.00 |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
12 |
12 |
$0.00 |
| 99051 |
|
100 |
95 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
52 |
52 |
$0.00 |