| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
723 |
703 |
$52K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
1,037 |
1,004 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
703 |
679 |
$31K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
135 |
135 |
$16K |
| 99051 |
|
451 |
444 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
89 |
88 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
245 |
242 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
60 |
60 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
70 |
68 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
30 |
30 |
$1K |
| 81003 |
|
13 |
13 |
$30.30 |
| 3008F |
|
130 |
119 |
$0.00 |
| 3074F |
|
120 |
113 |
$0.00 |
| 3079F |
|
13 |
13 |
$0.00 |
| 3078F |
|
69 |
62 |
$0.00 |