| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
|
7,188 |
6,500 |
$680K |
| S9083 |
Urgent care center global |
3,399 |
2,531 |
$356K |
| 99214 |
|
2,930 |
2,516 |
$267K |
| 99213 |
|
3,483 |
2,755 |
$201K |
| 87428 |
|
3,185 |
2,873 |
$170K |
| 87426 |
|
4,700 |
4,146 |
$144K |
| 87635 |
|
2,303 |
2,134 |
$89K |
| 99212 |
|
1,147 |
957 |
$59K |
| U0002 |
Covid-19 lab test non-cdc |
1,286 |
1,124 |
$28K |
| U0003 |
Cov-19 amp prb hgh thruput |
477 |
436 |
$26K |
| 99423 |
|
389 |
344 |
$17K |
| 99358 |
Prolong nursin fac eval 15m |
540 |
429 |
$14K |
| M0243 |
Casirivi and imdevi inj |
52 |
45 |
$13K |
| 99205 |
Prolong outpt/office vis |
129 |
119 |
$13K |
| 99441 |
|
367 |
309 |
$7K |
| 99203 |
|
84 |
81 |
$7K |
| U0005 |
Infec agen detec ampli probe |
439 |
403 |
$5K |
| M0245 |
Bamlan and etesev infusion |
39 |
35 |
$4K |
| 0241U |
|
28 |
26 |
$3K |
| M0244 |
Casirivi and imdevi inj hm |
16 |
14 |
$3K |
| 99215 |
Prolong outpt/office vis |
15 |
14 |
$1K |
| 99202 |
|
14 |
14 |
$1K |
| 99417 |
Prolong home eval add 15m |
89 |
84 |
$933.92 |
| 87502 |
|
57 |
44 |
$751.68 |
| 36000 |
|
94 |
89 |
$705.62 |
| 99350 |
Prolong home eval add 15m |
15 |
13 |
$460.00 |
| 87651 |
|
13 |
13 |
$68.90 |
| INVCD |
|
63 |
54 |
$0.00 |