| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
8,911 |
8,750 |
$83K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,099 |
10,481 |
$77K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,837 |
2,776 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,463 |
2,445 |
$16K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
797 |
732 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,857 |
2,787 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
750 |
743 |
$4K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
16,403 |
15,516 |
$3K |
| 99051 |
|
7,003 |
6,759 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,472 |
805 |
$689.96 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,253 |
1,239 |
$530.37 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
246 |
242 |
$205.95 |
| 81003 |
|
2,258 |
2,192 |
$121.87 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
155 |
139 |
$94.70 |
| 99201 |
|
25 |
25 |
$90.13 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
41 |
41 |
$31.17 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
41 |
41 |
$31.07 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
15 |
15 |
$30.15 |
| 71046 |
Radiologic examination, chest; 2 views |
55 |
55 |
$27.48 |
| 99441 |
|
40 |
40 |
$25.00 |
| 99000 |
|
1,624 |
1,554 |
$14.12 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
34 |
34 |
$12.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
29 |
29 |
$7.15 |
| 87088 |
|
13 |
13 |
$6.08 |
| 81025 |
|
107 |
107 |
$5.60 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
140 |
135 |
$1.54 |
| 36415 |
Collection of venous blood by venipuncture |
187 |
184 |
$0.00 |
| 87799 |
|
15 |
15 |
$0.00 |
| 87481 |
|
14 |
14 |
$0.00 |
| 69209 |
|
14 |
13 |
$0.00 |
| 87512 |
|
14 |
14 |
$0.00 |