| Bulan | Fasyankes Provinsi Nama | Fasyankes Kabupaten Id | Fasyankes Kabupaten Nama | Jumlah Pasien | Sembuh | Pengobatan Lengkap | Lost To Follow Up | Meninggal | Gagal | Tidak Dievaluasi Pindah | Belum Ada Hasil | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4 | Jawa Timur | 256 | Kab. Sumenep | 194 | 44 | 132 | 9 | 9 | 0 | 0 | 0 | |
| 4 | Jawa Timur | 257 | Kota Kediri | 89 | 19 | 60 | 4 | 6 | 0 | 0 | 0 | |
| 4 | Jawa Timur | 258 | Kota Blitar | 29 | 10 | 16 | 2 | 1 | 0 | 0 | 0 | |
| 4 | Jawa Timur | 259 | Kota Malang | 190 | 39 | 121 | 13 | 14 | 2 | 0 | 1 | |
| 4 | Jawa Timur | 260 | Kota Probolinggo | 61 | 19 | 31 | 6 | 5 | 0 | 0 | 0 | |
| 4 | Jawa Timur | 261 | Kota Pasuruan | 57 | 29 | 21 | 4 | 3 | 0 | 0 | 0 | |
| 4 | Jawa Timur | 262 | Kota Mojokerto | 55 | 10 | 42 | 0 | 3 | 0 | 0 | 0 | |
| 4 | Jawa Timur | 263 | Kota Madiun | 103 | 16 | 84 | 2 | 1 | 0 | 0 | 0 | |
| 4 | Jawa Timur | 264 | Kota Surabaya | 744 | 226 | 422 | 64 | 25 | 3 | 1 | 3 | |
| 4 | Jawa Timur | 265 | Kota Batu | 23 | 3 | 13 | 4 | 3 | 0 | 0 | 0 | |
| 4 | Banten | 266 | Kab. Pandeglang | 370 | 107 | 226 | 25 | 9 | 0 | 1 | 2 | |
| 4 | Banten | 267 | Kab. Lebak | 354 | 86 | 254 | 6 | 5 | 0 | 3 | 0 | |
| 4 | Banten | 268 | Kab. Tangerang | 1.108 | 226 | 781 | 38 | 23 | 0 | 4 | 36 | |
| 4 | Banten | 269 | Kab. Serang | 415 | 105 | 273 | 24 | 11 | 0 | 2 | 0 | |
| 4 | Banten | 270 | Kota Tangerang | 980 | 70 | 822 | 38 | 41 | 1 | 8 | 0 | |
| 4 | Banten | 271 | Kota Cilegon | 116 | 26 | 79 | 3 | 7 | 1 | 0 | 0 | |
| 4 | Banten | 272 | Kota Serang | 198 | 36 | 152 | 10 | 0 | 0 | 0 | 0 | |
| 4 | Banten | 273 | Kota Tangerang Selatan | 455 | 48 | 333 | 60 | 13 | 0 | 1 | 0 | |
| 4 | Bali | 274 | Kab. Jembrana | 16 | 13 | 2 | 0 | 1 | 0 | 0 | 0 | |
| 4 | Bali | 275 | Kab. Tabanan | 29 | 10 | 14 | 0 | 5 | 0 | 0 | 0 | |