| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
9,047 |
8,706 |
$295K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,787 |
2,706 |
$222K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,907 |
1,903 |
$220K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,330 |
1,318 |
$154K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,441 |
2,375 |
$139K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,820 |
1,813 |
$139K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
900 |
891 |
$60K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
634 |
631 |
$51K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
615 |
612 |
$25K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
583 |
571 |
$24K |
| 81025 |
|
1,160 |
1,135 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
285 |
278 |
$6K |
| 99422 |
|
76 |
75 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
129 |
128 |
$3K |
| 81003 |
|
956 |
949 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
88 |
88 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
42 |
42 |
$617.53 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
49 |
49 |
$289.61 |
| 3079F |
|
175 |
166 |
$0.00 |
| 3080F |
|
85 |
83 |
$0.00 |
| 3061F |
|
98 |
93 |
$0.00 |
| 3075F |
|
13 |
12 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
16 |
12 |
$0.00 |
| 90674 |
|
13 |
13 |
$0.00 |
| 3044F |
|
14 |
12 |
$0.00 |
| 3074F |
|
42 |
39 |
$0.00 |
| 4010F |
|
14 |
12 |
$0.00 |
| 3077F |
|
137 |
134 |
$0.00 |