| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
428 |
401 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
209 |
192 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31 |
26 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
199 |
164 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29 |
27 |
$645.44 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
206 |
186 |
$272.42 |
| 87428 |
|
117 |
114 |
$146.95 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
80 |
70 |
$78.62 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
26 |
20 |
$76.45 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
17 |
$26.42 |
| T1015 |
Clinic visit/encounter, all-inclusive |
57 |
55 |
$0.00 |
| 99401 |
|
45 |
42 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
418 |
406 |
$0.00 |
| 99050 |
|
13 |
12 |
$0.00 |