| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,515 |
6,159 |
$411K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,239 |
1,877 |
$183K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,713 |
1,242 |
$25K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,068 |
733 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
459 |
423 |
$17K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,055 |
761 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,259 |
384 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
444 |
380 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
43 |
37 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
70 |
45 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
50 |
42 |
$708.04 |
| 99201 |
|
14 |
12 |
$310.97 |
| 87807 |
|
26 |
22 |
$120.44 |
| 36415 |
Collection of venous blood by venipuncture |
65 |
51 |
$75.49 |
| 81003 |
|
179 |
129 |
$9.18 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
61 |
57 |
$0.00 |
| 99000 |
|
19 |
15 |
$0.00 |