| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,951 |
1,658 |
$130K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,281 |
1,947 |
$100K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,092 |
1,051 |
$44K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
557 |
447 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
787 |
757 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
323 |
286 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
551 |
524 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
344 |
319 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
127 |
123 |
$4K |
| 81025 |
|
573 |
492 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
52 |
45 |
$3K |
| 81002 |
|
738 |
636 |
$2K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
28 |
22 |
$1K |
| 99000 |
|
77 |
45 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
16 |
13 |
$1K |
| 87807 |
|
73 |
71 |
$723.27 |
| 87905 |
|
12 |
12 |
$126.48 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
23 |
14 |
$0.00 |