| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,623 |
2,476 |
$233K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,479 |
2,152 |
$123K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
859 |
762 |
$38K |
| 87428 |
|
1,279 |
1,173 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
601 |
543 |
$20K |
| 99000 |
|
1,888 |
1,575 |
$19K |
| S9083 |
Global fee urgent care centers |
859 |
704 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
582 |
529 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
778 |
466 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
380 |
330 |
$2K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
419 |
368 |
$2K |
| 99050 |
|
616 |
538 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
21 |
20 |
$615.48 |
| 81003 |
|
173 |
152 |
$207.31 |
| 99051 |
|
45 |
43 |
$0.00 |
| 99072 |
|
95 |
78 |
$0.00 |