| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,542 |
2,235 |
$154K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,254 |
1,102 |
$66K |
| S9083 |
Global fee urgent care centers |
460 |
404 |
$58K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
352 |
317 |
$29K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,179 |
1,770 |
$27K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
271 |
145 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,929 |
820 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,192 |
939 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
80 |
76 |
$5K |
| 87807 |
|
134 |
104 |
$565.92 |
| 81003 |
|
155 |
94 |
$128.88 |
| 99051 |
|
13 |
12 |
$128.40 |
| 81025 |
|
13 |
12 |
$30.30 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
193 |
117 |
$13.40 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
93 |
86 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
12 |
$0.00 |