| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
120 |
74 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
111 |
76 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
32 |
31 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54 |
40 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
110 |
80 |
$971.41 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36 |
26 |
$895.16 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
67 |
55 |
$695.10 |
| 87276 |
|
18 |
12 |
$48.20 |
| 87275 |
|
18 |
12 |
$36.75 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
18 |
13 |
$0.00 |