| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,774 |
2,117 |
$176K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
756 |
658 |
$57K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
234 |
220 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
466 |
411 |
$24K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
251 |
240 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
109 |
102 |
$6K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
41 |
37 |
$4K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
35 |
34 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
142 |
121 |
$4K |
| 99051 |
|
405 |
386 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
127 |
60 |
$1K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
134 |
130 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
130 |
118 |
$1K |