| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,211 |
1,192 |
$63K |
| T1015 |
Clinic visit/encounter, all-inclusive |
180 |
179 |
$49K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
1,386 |
1,368 |
$44K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
69 |
69 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
26 |
25 |
$1K |
| 81003 |
|
26 |
26 |
$58.65 |
| 3074F |
|
165 |
165 |
$0.00 |
| 3079F |
|
29 |
29 |
$0.00 |
| 3078F |
|
100 |
100 |
$0.00 |