| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,087 |
1,075 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,231 |
1,187 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,822 |
1,700 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
302 |
301 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
125 |
125 |
$798.56 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
236 |
229 |
$147.59 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
72 |
58 |
$147.21 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
41 |
37 |
$103.75 |
| 81003 |
|
297 |
283 |
$46.97 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
1,394 |
1,361 |
$37.50 |
| 81000 |
|
30 |
29 |
$5.13 |
| 99051 |
|
153 |
150 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |