| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
503 |
501 |
$27K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
722 |
717 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
79 |
79 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
128 |
128 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
31 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
86 |
85 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
35 |
34 |
$843.06 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$164.18 |
| 81003 |
|
28 |
28 |
$64.39 |