| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,810 |
8,703 |
$197K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,099 |
4,897 |
$178K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
9,665 |
5,550 |
$108K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
11,470 |
10,191 |
$60K |
| 87428 |
|
741 |
700 |
$30K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
861 |
802 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,317 |
2,160 |
$11K |
| 0001A |
|
286 |
274 |
$10K |
| 99205 |
Prolong outpt/office vis |
142 |
137 |
$8K |
| 0002A |
|
183 |
175 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
830 |
777 |
$6K |
| 0031A |
|
137 |
134 |
$4K |
| 0003A |
|
119 |
113 |
$4K |
| 0011A |
|
92 |
91 |
$3K |
| 0071A |
|
84 |
81 |
$3K |
| 0013A |
|
123 |
113 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
758 |
711 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
539 |
513 |
$2K |
| 99441 |
|
1,371 |
1,188 |
$2K |
| 0012A |
|
48 |
48 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
158 |
91 |
$2K |
| 0072A |
|
41 |
41 |
$2K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
17 |
16 |
$910.32 |
| 81002 |
|
428 |
399 |
$545.87 |
| 99215 |
Prolong outpt/office vis |
316 |
306 |
$444.27 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
24 |
$293.15 |
| 99000 |
|
288 |
138 |
$16.00 |
| S9999 |
Sales tax |
184 |
148 |
$15.72 |
| 99072 |
|
52 |
49 |
$0.00 |