| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,848 |
4,603 |
$305K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,482 |
3,340 |
$292K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,300 |
2,243 |
$174K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,339 |
1,305 |
$147K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,870 |
1,774 |
$57K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,174 |
1,147 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
684 |
671 |
$10K |
| 99051 |
|
629 |
607 |
$880.23 |
| 81002 |
|
197 |
190 |
$539.78 |
| 70220 |
|
13 |
13 |
$240.96 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$111.02 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$15.60 |
| 3078F |
|
194 |
189 |
$0.00 |
| 3077F |
|
14 |
14 |
$0.00 |
| 99072 |
|
38 |
37 |
$0.00 |
| 3074F |
|
211 |
207 |
$0.00 |
| 3079F |
|
58 |
58 |
$0.00 |
| 1125F |
|
26 |
26 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
22 |
21 |
$0.00 |
| 3075F |
|
15 |
14 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |