| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
32,711 |
30,691 |
$1.05M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,483 |
16,408 |
$1.01M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,946 |
7,715 |
$647K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,562 |
5,513 |
$436K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
3,402 |
3,347 |
$400K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,928 |
1,918 |
$222K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,121 |
2,084 |
$88K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,462 |
1,438 |
$60K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,144 |
2,082 |
$47K |
| 99215 |
Prolong outpt/office vis |
208 |
206 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
946 |
926 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
307 |
304 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
373 |
371 |
$9K |
| 99422 |
|
173 |
171 |
$9K |
| 81025 |
|
1,230 |
1,208 |
$9K |
| 73610 |
|
365 |
363 |
$9K |
| 73630 |
|
373 |
369 |
$9K |
| 81002 |
|
1,578 |
1,551 |
$5K |
| 73130 |
|
84 |
84 |
$2K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
54 |
53 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
88 |
71 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$652.74 |
| 69210 |
|
12 |
12 |
$572.24 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
28 |
28 |
$566.19 |
| 90682 |
|
15 |
14 |
$476.00 |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
301 |
298 |
$392.75 |
| 73110 |
|
12 |
12 |
$316.29 |
| 73140 |
|
12 |
12 |
$267.60 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
13 |
$39.87 |
| 3044F |
|
96 |
94 |
$0.00 |
| 3075F |
|
83 |
81 |
$0.00 |
| 3061F |
|
323 |
308 |
$0.00 |
| 90674 |
|
14 |
14 |
$0.00 |
| 4010F |
|
199 |
189 |
$0.00 |
| 3074F |
|
478 |
453 |
$0.00 |
| 3080F |
|
153 |
149 |
$0.00 |
| 3079F |
|
482 |
465 |
$0.00 |
| 3077F |
|
347 |
338 |
$0.00 |
| 3078F |
|
358 |
349 |
$0.00 |