| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,373 |
2,859 |
$128K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,662 |
3,957 |
$116K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,326 |
2,633 |
$54K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,990 |
2,485 |
$42K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,380 |
2,863 |
$30K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
447 |
432 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
287 |
238 |
$12K |
| 96127 |
|
2,005 |
1,721 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
96 |
76 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
74 |
50 |
$752.19 |
| 87807 |
|
18 |
14 |
$121.33 |
| 81003 |
|
95 |
85 |
$63.10 |
| 3725F |
|
444 |
427 |
$0.00 |
| S9083 |
Global fee urgent care centers |
30 |
29 |
$0.00 |
| 3351F |
|
424 |
406 |
$0.00 |