| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,138 |
12,306 |
$1.02M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,602 |
7,516 |
$551K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,416 |
3,805 |
$339K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,495 |
2,276 |
$185K |
| S9083 |
Global fee urgent care centers |
1,542 |
1,359 |
$173K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,652 |
2,746 |
$71K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
4,731 |
3,752 |
$50K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,168 |
975 |
$26K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,278 |
2,832 |
$20K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
122 |
99 |
$8K |
| 99215 |
Prolong outpt/office vis |
76 |
73 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
76 |
74 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,571 |
1,680 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,943 |
1,428 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$1K |
| 0012A |
|
31 |
31 |
$807.88 |
| 0011A |
|
40 |
35 |
$575.60 |
| 87807 |
|
250 |
193 |
$509.63 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
527 |
392 |
$339.18 |
| 81003 |
|
452 |
357 |
$270.21 |
| 99051 |
|
14 |
14 |
$139.10 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
49 |
36 |
$26.49 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
675 |
448 |
$0.00 |
| 91301 |
|
13 |
13 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
77 |
72 |
$0.00 |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
20 |
20 |
$0.00 |