| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,565 |
6,173 |
$567K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,184 |
2,940 |
$286K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,356 |
3,127 |
$202K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,710 |
2,550 |
$111K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
469 |
444 |
$60K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,010 |
945 |
$33K |
| 99000 |
|
5,055 |
4,812 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
237 |
225 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
41 |
37 |
$429.39 |
| 90674 |
|
16 |
15 |
$409.22 |
| 87428 |
|
12 |
12 |
$373.51 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
15 |
$247.52 |
| 0012A |
|
12 |
12 |
$208.96 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$127.27 |
| 36415 |
Collection of venous blood by venipuncture |
25 |
24 |
$45.84 |
| 81002 |
|
13 |
12 |
$27.08 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
39 |
26 |
$0.00 |