| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,088 |
3,036 |
$190K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,417 |
2,159 |
$123K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
337 |
336 |
$34K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
774 |
717 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
276 |
261 |
$20K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
128 |
126 |
$14K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
226 |
214 |
$7K |
| 99000 |
|
1,725 |
1,581 |
$6K |
| 87428 |
|
178 |
170 |
$6K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
80 |
79 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
214 |
207 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
116 |
112 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
160 |
140 |
$1K |
| 99401 |
|
45 |
45 |
$1K |
| 81003 |
|
305 |
297 |
$552.71 |
| 36415 |
Collection of venous blood by venipuncture |
146 |
142 |
$371.61 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
13 |
$219.36 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
77 |
77 |
$58.00 |
| 81025 |
|
16 |
16 |
$57.04 |
| 99051 |
|
32 |
32 |
$0.00 |
| 99072 |
|
13 |
13 |
$0.00 |