| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,361 |
2,213 |
$48K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,557 |
1,420 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
357 |
331 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
691 |
638 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
473 |
452 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
926 |
476 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
773 |
703 |
$5K |
| 87430 |
|
1,080 |
1,025 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
111 |
109 |
$4K |
| 87650 |
|
110 |
109 |
$2K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
40 |
34 |
$2K |
| 87807 |
|
95 |
95 |
$833.80 |
| 87400 |
|
348 |
185 |
$477.37 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
43 |
41 |
$446.59 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
717 |
604 |
$437.50 |
| 71046 |
Radiologic examination, chest; 2 views |
14 |
14 |
$319.57 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$289.40 |
| 81003 |
|
32 |
30 |
$47.40 |
| 94760 |
|
242 |
224 |
$15.68 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
151 |
151 |
$7.00 |
| A4244 |
Alcohol or peroxide, per pint |
13 |
13 |
$3.40 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
97 |
86 |
$0.00 |
| 87428 |
|
15 |
13 |
$0.00 |
| 99072 |
|
205 |
187 |
$0.00 |
| 87420 |
|
16 |
12 |
$0.00 |