| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99422 |
|
16,955 |
15,956 |
$937K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
15,200 |
14,578 |
$498K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,428 |
6,175 |
$371K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,602 |
4,492 |
$371K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,120 |
2,103 |
$175K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,448 |
1,439 |
$175K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,059 |
1,053 |
$125K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
887 |
875 |
$37K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
453 |
441 |
$19K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
782 |
764 |
$17K |
| 99215 |
Prolong outpt/office vis |
39 |
38 |
$4K |
| 81025 |
|
470 |
460 |
$4K |
| 81002 |
|
619 |
603 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
141 |
141 |
$2K |
| 73630 |
|
74 |
72 |
$2K |
| 73610 |
|
59 |
59 |
$1K |
| 73110 |
|
30 |
30 |
$784.28 |
| G0008 |
Administration of influenza virus vaccine |
27 |
27 |
$451.92 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$311.28 |
| 73130 |
|
13 |
13 |
$288.72 |
| 73140 |
|
12 |
12 |
$267.60 |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
77 |
77 |
$97.50 |
| 4010F |
|
108 |
99 |
$0.02 |
| 3077F |
|
126 |
123 |
$0.00 |
| 3078F |
|
119 |
112 |
$0.00 |
| 3074F |
|
65 |
63 |
$0.00 |
| 3075F |
|
57 |
56 |
$0.00 |
| 3044F |
|
78 |
76 |
$0.00 |
| 3079F |
|
88 |
85 |
$0.00 |
| 3080F |
|
46 |
46 |
$0.00 |
| 3061F |
|
149 |
141 |
$0.00 |