| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,032 |
1,894 |
$124K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,389 |
1,380 |
$95K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,058 |
1,010 |
$84K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
485 |
480 |
$48K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
920 |
876 |
$23K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
240 |
193 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
362 |
357 |
$4K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
155 |
149 |
$1K |
| 99000 |
|
744 |
719 |
$762.82 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
15 |
$508.68 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
12 |
12 |
$411.12 |
| 71046 |
Radiologic examination, chest; 2 views |
27 |
27 |
$408.69 |
| 87807 |
|
39 |
37 |
$227.85 |
| 81003 |
|
126 |
124 |
$164.56 |
| 99051 |
|
762 |
754 |
$25.00 |
| 99050 |
|
95 |
92 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
415 |
390 |
$0.00 |