| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,227 |
2,768 |
$205K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,945 |
1,655 |
$182K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,362 |
1,221 |
$126K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,805 |
1,623 |
$68K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,401 |
660 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
868 |
778 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
186 |
166 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
53 |
48 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
307 |
196 |
$5K |
| 81002 |
|
649 |
559 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
30 |
27 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
26 |
26 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
76 |
38 |
$108.50 |
| 81003 |
|
33 |
27 |
$72.00 |
| 99000 |
|
23 |
18 |
$68.80 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
30 |
28 |
$0.00 |