| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,352 |
1,352 |
$173K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,306 |
1,211 |
$124K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
594 |
580 |
$74K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
395 |
356 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
161 |
161 |
$18K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
601 |
591 |
$16K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
382 |
375 |
$16K |
| 87428 |
|
225 |
219 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
784 |
386 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
70 |
62 |
$4K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
1,171 |
1,077 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
18 |
18 |
$2K |
| S9083 |
Global fee urgent care centers |
12 |
12 |
$2K |
| 99051 |
|
563 |
553 |
$612.32 |
| 81025 |
|
65 |
63 |
$426.09 |
| 81003 |
|
135 |
133 |
$229.46 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
109 |
105 |
$0.00 |