| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
65 |
57 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
55 |
45 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
216 |
144 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
237 |
166 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
62 |
28 |
$171.73 |
| 87400 |
|
83 |
41 |
$118.70 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
290 |
173 |
$23.46 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
256 |
217 |
$0.00 |
| 99072 |
|
138 |
98 |
$0.00 |