| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9012 |
Other specified case management service not elsewhere classified |
1,849 |
1,846 |
$507K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,455 |
2,206 |
$149K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,625 |
1,503 |
$72K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
1,198 |
1,164 |
$41K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
285 |
283 |
$10K |
| 80305 |
|
408 |
369 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
276 |
271 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
101 |
100 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$911.26 |
| 81003 |
|
55 |
55 |
$133.24 |
| 81025 |
|
13 |
13 |
$100.88 |