| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
257 |
255 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
130 |
130 |
$6K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
44 |
44 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
135 |
133 |
$5K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
45 |
45 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
30 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
21 |
21 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18 |
18 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$148.50 |
| 81003 |
|
12 |
12 |
$30.60 |