| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
838 |
835 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
525 |
498 |
$39K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
325 |
322 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
526 |
501 |
$29K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
425 |
418 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
206 |
200 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
53 |
52 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
195 |
190 |
$2K |
| 81025 |
|
84 |
81 |
$392.15 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
52 |
43 |
$391.04 |
| 81003 |
|
159 |
155 |
$247.98 |
| 81002 |
|
79 |
74 |
$152.64 |
| 87807 |
|
17 |
16 |
$99.82 |
| 96127 |
|
12 |
12 |
$13.85 |
| 99000 |
|
15 |
13 |
$13.67 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
78 |
77 |
$0.00 |