| Code | Description | Claims | Beneficiaries | Total Paid |
| S9083 |
Global fee urgent care centers |
280 |
278 |
$27K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
43 |
43 |
$2K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
12 |
12 |
$600.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
13 |
13 |
$399.60 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$73.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
69 |
68 |
$0.00 |