| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
283 |
236 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
147 |
122 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
154 |
144 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
804 |
599 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
213 |
148 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
142 |
128 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
47 |
45 |
$2K |
| S8301 |
Infection control supplies, not otherwise specified |
180 |
147 |
$902.47 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
41 |
28 |
$768.66 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
136 |
118 |
$616.33 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
79 |
73 |
$464.18 |
| 99443 |
|
29 |
25 |
$186.73 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
281 |
241 |
$0.00 |
| 99000 |
|
14 |
13 |
$0.00 |
| S9083 |
Global fee urgent care centers |
20 |
17 |
$0.00 |