| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,937 |
4,408 |
$235K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,374 |
4,838 |
$180K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,085 |
1,827 |
$140K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,036 |
3,279 |
$109K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,313 |
2,070 |
$101K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,262 |
2,156 |
$41K |
| 99051 |
|
1,462 |
1,098 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
955 |
808 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
498 |
441 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
34 |
19 |
$588.56 |
| 87807 |
|
33 |
29 |
$138.86 |
| 81003 |
|
96 |
90 |
$111.01 |
| A9150 |
Non-prescription drugs |
36 |
32 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
4,742 |
3,397 |
$0.00 |
| 99000 |
|
136 |
128 |
$0.00 |