| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
4,674 |
4,560 |
$155K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,805 |
1,780 |
$130K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,192 |
2,130 |
$113K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
980 |
965 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
406 |
398 |
$31K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
913 |
901 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
82 |
81 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
546 |
529 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
117 |
113 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
129 |
129 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
24 |
24 |
$938.65 |
| 81003 |
|
315 |
307 |
$680.37 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
33 |
33 |
$571.50 |
| 81025 |
|
28 |
28 |
$206.72 |
| 3008F |
|
264 |
257 |
$0.00 |
| 3074F |
|
118 |
117 |
$0.00 |
| 1036F |
|
14 |
14 |
$0.00 |
| 3078F |
|
111 |
110 |
$0.00 |