| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
227 |
227 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
44 |
44 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17 |
17 |
$703.08 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
16 |
16 |
$510.58 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
19 |
18 |
$177.34 |
| 81025 |
|
15 |
15 |
$90.33 |
| 99051 |
|
58 |
58 |
$66.00 |
| 81003 |
|
17 |
17 |
$24.84 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
119 |
119 |
$0.00 |