| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,367 |
2,025 |
$186K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,738 |
2,201 |
$167K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,464 |
2,048 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
893 |
780 |
$48K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
698 |
597 |
$39K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,096 |
417 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
725 |
583 |
$7K |
| 87428 |
|
173 |
155 |
$4K |
| 99000 |
|
1,833 |
1,516 |
$3K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
16 |
16 |
$2K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
57 |
52 |
$312.00 |
| 71046 |
Radiologic examination, chest; 2 views |
17 |
12 |
$292.94 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
19 |
13 |
$183.01 |
| 81003 |
|
87 |
72 |
$143.46 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
18 |
12 |
$142.46 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
18 |
12 |
$107.37 |
| 99051 |
|
316 |
292 |
$0.00 |