| Code | Description | Claims | Beneficiaries | Total Paid |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,170 |
1,087 |
$37K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
595 |
593 |
$14K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,122 |
982 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
218 |
185 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
135 |
134 |
$2K |
| 0013A |
|
34 |
34 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
209 |
198 |
$1K |
| 99000 |
|
783 |
697 |
$1K |
| 0003A |
|
17 |
17 |
$660.96 |
| 99199 |
Unlisted special service, procedure or report |
806 |
709 |
$300.09 |
| 99072 |
|
606 |
539 |
$154.65 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
16 |
$115.32 |
| 99050 |
|
104 |
100 |
$34.30 |
| 99070 |
|
60 |
59 |
$21.06 |