| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,419 |
4,698 |
$172K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,412 |
2,055 |
$100K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,585 |
2,277 |
$68K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,484 |
2,069 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
811 |
737 |
$40K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
325 |
264 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,180 |
945 |
$10K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
486 |
212 |
$3K |
| 99215 |
Prolong outpt/office vis |
59 |
43 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
31 |
22 |
$848.60 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$240.32 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
241 |
171 |
$224.34 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
46 |
34 |
$27.67 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
1,299 |
1,124 |
$8.75 |
| 99000 |
|
88 |
46 |
$0.00 |