| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,069 |
3,002 |
$109K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
648 |
646 |
$36K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
1,270 |
1,245 |
$35K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
274 |
273 |
$27K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
448 |
448 |
$25K |
| 87428 |
|
444 |
441 |
$12K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
296 |
296 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
479 |
474 |
$4K |
| 81003 |
|
308 |
308 |
$952.43 |
| 81025 |
|
191 |
190 |
$805.40 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$446.87 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$324.74 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
26 |
26 |
$0.00 |