| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,932 |
4,773 |
$279K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,038 |
3,843 |
$256K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,410 |
3,356 |
$203K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,644 |
3,485 |
$76K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
887 |
858 |
$64K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
272 |
264 |
$14K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,035 |
1,000 |
$14K |
| 99051 |
|
5,117 |
4,966 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,911 |
1,313 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,606 |
1,542 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
144 |
141 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
24 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
23 |
23 |
$1K |
| 81003 |
|
192 |
181 |
$301.66 |
| 99173 |
|
16 |
16 |
$32.76 |
| 81025 |
|
13 |
13 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
269 |
260 |
$0.00 |