| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,016 |
887 |
$59K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
284 |
242 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
270 |
231 |
$25K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
193 |
154 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
270 |
229 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
655 |
557 |
$5K |
| 87428 |
|
69 |
65 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12 |
12 |
$860.40 |
| 70450 |
Computed tomography, head or brain; without contrast material |
20 |
12 |
$612.21 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
30 |
30 |
$512.44 |
| 71045 |
Radiologic examination, chest; single view |
67 |
57 |
$424.69 |