| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,536 |
5,840 |
$581K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,538 |
4,066 |
$402K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,868 |
2,632 |
$256K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
736 |
668 |
$67K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
4,411 |
3,579 |
$56K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,480 |
2,018 |
$15K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
910 |
831 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
920 |
714 |
$11K |
| 99051 |
|
1,353 |
1,094 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
67 |
58 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,305 |
1,775 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
976 |
891 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,190 |
1,052 |
$350.25 |
| 81003 |
|
140 |
116 |
$152.32 |
| 87807 |
|
51 |
48 |
$91.70 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
208 |
168 |
$13.38 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
56 |
37 |
$0.00 |