| Code | Description | Claims | Beneficiaries | Total Paid |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
506 |
453 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
513 |
428 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
369 |
331 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
179 |
165 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
128 |
111 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
65 |
60 |
$4K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
543 |
476 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
253 |
122 |
$2K |
| 87428 |
|
55 |
53 |
$1K |
| 99401 |
|
114 |
97 |
$922.59 |
| 99050 |
|
274 |
217 |
$809.50 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
83 |
75 |
$775.26 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
212 |
195 |
$535.05 |
| 81025 |
|
120 |
104 |
$365.93 |
| 96127 |
|
131 |
78 |
$313.88 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
22 |
17 |
$149.67 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
45 |
16 |
$25.46 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$18.20 |
| 81003 |
|
33 |
28 |
$14.80 |
| 99051 |
|
28 |
24 |
$13.50 |
| 99058 |
|
26 |
26 |
$10.53 |
| 99000 |
|
16 |
12 |
$0.00 |