| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,295 |
2,440 |
$255K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,786 |
1,801 |
$139K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
3,770 |
2,348 |
$78K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,418 |
1,134 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,367 |
890 |
$42K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,089 |
671 |
$37K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,427 |
1,358 |
$36K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,704 |
1,281 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
234 |
188 |
$4K |
| 99051 |
|
1,245 |
574 |
$3K |
| 87400 |
|
297 |
224 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
126 |
109 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
77 |
62 |
$2K |
| 87807 |
|
28 |
26 |
$342.21 |
| 81007 |
|
47 |
43 |
$114.15 |
| 81025 |
|
16 |
15 |
$101.40 |
| 81001 |
|
24 |
12 |
$7.82 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
59 |
55 |
$0.80 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
3,212 |
1,787 |
$0.00 |
| 99000 |
|
22 |
12 |
$0.00 |
| 99072 |
|
1,140 |
696 |
$0.00 |