| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99058 |
|
14,300 |
12,330 |
$1.05M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,133 |
12,067 |
$665K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,278 |
12,024 |
$485K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14,875 |
12,763 |
$225K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
8,739 |
8,617 |
$216K |
| 87428 |
|
5,757 |
5,097 |
$110K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,499 |
1,488 |
$46K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,480 |
1,444 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
436 |
373 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
31 |
30 |
$424.80 |
| 81003 |
|
450 |
433 |
$333.60 |
| S9083 |
Global fee urgent care centers |
20 |
16 |
$150.00 |
| 90686 |
|
14 |
14 |
$76.12 |
| 87807 |
|
66 |
66 |
$59.55 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$49.00 |