| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,090 |
2,077 |
$110K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
758 |
753 |
$56K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
970 |
964 |
$32K |
| 87428 |
|
157 |
157 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
68 |
67 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
268 |
266 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
96 |
96 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$351.00 |