| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
8,083 |
7,606 |
$277K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,672 |
2,589 |
$219K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,412 |
3,254 |
$198K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,204 |
1,200 |
$83K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
843 |
837 |
$81K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
571 |
565 |
$70K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,269 |
1,254 |
$52K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
696 |
684 |
$39K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
625 |
617 |
$23K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
77 |
77 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
71 |
70 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
116 |
116 |
$3K |
| 81025 |
|
328 |
323 |
$2K |
| 81002 |
|
511 |
503 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
117 |
114 |
$2K |
| 73630 |
|
31 |
29 |
$752.53 |
| 73610 |
|
28 |
28 |
$673.68 |
| 73140 |
|
15 |
15 |
$312.20 |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
58 |
58 |
$75.90 |
| 3074F |
|
122 |
115 |
$0.00 |
| 3079F |
|
154 |
148 |
$0.00 |
| 3061F |
|
203 |
191 |
$0.00 |
| 4010F |
|
88 |
82 |
$0.00 |
| 3044F |
|
95 |
91 |
$0.00 |
| 3075F |
|
14 |
14 |
$0.00 |
| 3080F |
|
27 |
26 |
$0.00 |
| 3077F |
|
165 |
161 |
$0.00 |
| 3078F |
|
170 |
161 |
$0.00 |