| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,803 |
2,775 |
$146K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,877 |
1,859 |
$140K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
1,976 |
1,944 |
$64K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
568 |
564 |
$42K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
220 |
219 |
$26K |
| 87428 |
|
455 |
455 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
899 |
891 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
205 |
205 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
45 |
45 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
25 |
25 |
$620.02 |
| 81002 |
|
180 |
178 |
$538.88 |
| 73630 |
|
13 |
13 |
$303.09 |