| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
724 |
721 |
$17K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
47 |
42 |
$2K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
41 |
41 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
50 |
41 |
$1K |
| 87631 |
|
97 |
71 |
$820.64 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
94 |
65 |
$807.58 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
111 |
79 |
$771.65 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
28 |
20 |
$410.10 |
| 87581 |
|
89 |
59 |
$371.67 |
| 87486 |
|
91 |
60 |
$371.67 |
| 99348 |
|
115 |
93 |
$243.69 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
17 |
17 |
$99.32 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$0.00 |
| 99000 |
|
88 |
71 |
$0.00 |