| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
12,282 |
11,953 |
$385K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,429 |
6,278 |
$323K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,325 |
4,259 |
$322K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,416 |
3,344 |
$116K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,488 |
1,472 |
$114K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,278 |
1,253 |
$42K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,912 |
1,871 |
$39K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,122 |
2,092 |
$27K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
156 |
156 |
$18K |
| 71046 |
Radiologic examination, chest; 2 views |
465 |
459 |
$11K |
| 81003 |
|
712 |
698 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
31 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$739.57 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
25 |
25 |
$468.50 |
| 81025 |
|
25 |
25 |
$186.24 |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
12 |
12 |
$15.60 |