| Code | Description | Claims | Beneficiaries | Total Paid |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
120 |
108 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
134 |
124 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
66 |
58 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
32 |
31 |
$1K |
| 90686 |
|
106 |
93 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
21 |
13 |
$741.93 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
51 |
45 |
$650.39 |
| 99072 |
|
27 |
27 |
$0.00 |