| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
552 |
458 |
$22K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
514 |
365 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
199 |
143 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
176 |
120 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
501 |
368 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
279 |
218 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
67 |
67 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
81 |
70 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
883 |
644 |
$948.53 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
157 |
79 |
$596.62 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
70 |
33 |
$159.46 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
65 |
51 |
$138.40 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
15 |
15 |
$24.00 |
| 36416 |
|
643 |
464 |
$0.00 |