| Code | Description | Claims | Beneficiaries | Total Paid |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
293 |
119 |
$307.86 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
103 |
12 |
$25.80 |
| 90685 |
|
13 |
13 |
$5.36 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
103 |
12 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
125 |
30 |
$0.00 |
| 90756 |
|
41 |
22 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
78 |
50 |
$0.00 |
| 90688 |
|
36 |
27 |
$0.00 |