| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,104 |
916 |
$98K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
722 |
605 |
$40K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
266 |
219 |
$23K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
569 |
454 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
537 |
386 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
544 |
426 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
137 |
115 |
$7K |
| 81025 |
|
428 |
347 |
$2K |
| 99000 |
|
89 |
86 |
$2K |
| 87808 |
|
91 |
80 |
$1K |
| 87807 |
|
120 |
90 |
$1K |
| 81002 |
|
454 |
374 |
$1K |
| 86318 |
|
37 |
27 |
$589.81 |
| 87905 |
|
53 |
45 |
$555.47 |
| 99459 |
|
32 |
29 |
$454.70 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
14 |
12 |
$27.50 |
| 36415 |
Collection of venous blood by venipuncture |
54 |
48 |
$0.00 |