| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,836 |
3,318 |
$210K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,787 |
2,546 |
$150K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,270 |
2,039 |
$141K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,290 |
1,186 |
$91K |
| 87428 |
|
515 |
471 |
$15K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,184 |
1,046 |
$14K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
600 |
516 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,938 |
851 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,294 |
1,157 |
$6K |
| 99000 |
|
155 |
136 |
$1K |
| 99051 |
|
183 |
166 |
$209.55 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
28 |
16 |
$86.56 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
200 |
171 |
$0.00 |