| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,149 |
1,077 |
$160K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
648 |
611 |
$80K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
491 |
491 |
$60K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
439 |
439 |
$54K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
302 |
150 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,083 |
1,048 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
49 |
48 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
611 |
596 |
$419.16 |
| S9083 |
Global fee urgent care centers |
13 |
13 |
$375.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
27 |
27 |
$185.25 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
275 |
269 |
$182.02 |
| 81025 |
|
145 |
141 |
$97.19 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
304 |
297 |
$52.50 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
342 |
317 |
$30.00 |
| 71046 |
Radiologic examination, chest; 2 views |
72 |
71 |
$5.67 |
| 94760 |
|
13 |
13 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
147 |
145 |
$0.00 |
| 93000 |
|
12 |
12 |
$0.00 |
| A9150 |
Non-prescription drugs |
12 |
12 |
$0.00 |
| 87634 |
|
14 |
14 |
$0.00 |