| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
9,765 |
9,386 |
$320K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,343 |
4,182 |
$245K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
2,074 |
2,046 |
$240K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,440 |
2,425 |
$193K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,798 |
1,763 |
$142K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
746 |
743 |
$86K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
452 |
450 |
$18K |
| 71046 |
Radiologic examination, chest; 2 views |
536 |
530 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
817 |
803 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
145 |
141 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
197 |
195 |
$4K |
| 81025 |
|
475 |
472 |
$4K |
| 81003 |
|
567 |
563 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
27 |
26 |
$367.18 |
| 73110 |
|
13 |
13 |
$342.03 |
| 73610 |
|
14 |
14 |
$336.84 |
| 73630 |
|
12 |
12 |
$285.48 |
| 3077F |
|
194 |
190 |
$0.00 |
| 3078F |
|
223 |
210 |
$0.00 |
| 90661 |
|
12 |
12 |
$0.00 |
| 3061F |
|
248 |
236 |
$0.00 |
| 3044F |
|
41 |
39 |
$0.00 |
| 4010F |
|
64 |
61 |
$0.00 |
| 3079F |
|
64 |
62 |
$0.00 |
| 3074F |
|
62 |
59 |
$0.00 |
| 3075F |
|
38 |
37 |
$0.00 |
| 3080F |
|
27 |
27 |
$0.00 |