| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,553 |
2,248 |
$103K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
5,582 |
4,945 |
$81K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
408 |
387 |
$32K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
247 |
222 |
$20K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
356 |
310 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
123 |
109 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
140 |
136 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
81 |
80 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
35 |
18 |
$537.22 |
| 81003 |
|
81 |
79 |
$204.94 |
| 81025 |
|
12 |
12 |
$99.66 |
| 99000 |
|
53 |
37 |
$21.78 |
| S9999 |
Sales tax |
949 |
857 |
$1.19 |
| 99051 |
|
1,456 |
1,261 |
$0.00 |