| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,396 |
1,389 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,468 |
1,221 |
$24K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
2,737 |
2,383 |
$781.66 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$581.32 |
| 99215 |
Prolong outpt/office vis |
15 |
12 |
$267.57 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
56 |
45 |
$210.56 |
| 99000 |
|
231 |
211 |
$149.60 |
| 99051 |
|
13 |
13 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
20 |
14 |
$0.00 |