| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,301 |
7,158 |
$492K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,210 |
4,751 |
$297K |
| S9083 |
Global fee urgent care centers |
1,740 |
1,500 |
$178K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,692 |
2,023 |
$163K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,252 |
1,718 |
$120K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,739 |
2,090 |
$75K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
3,509 |
2,692 |
$48K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,381 |
1,631 |
$17K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
891 |
578 |
$16K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
320 |
177 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,269 |
904 |
$5K |
| 99215 |
Prolong outpt/office vis |
59 |
54 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,665 |
859 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
22 |
22 |
$1K |
| 0011A |
|
35 |
29 |
$486.98 |
| 0012A |
|
13 |
13 |
$361.24 |
| 87807 |
|
79 |
43 |
$261.46 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
424 |
204 |
$101.57 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
152 |
71 |
$49.96 |
| 81003 |
|
15 |
13 |
$8.95 |
| 91301 |
|
13 |
13 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
127 |
109 |
$0.00 |