| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,843 |
2,641 |
$92K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,307 |
2,067 |
$61K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,133 |
1,079 |
$43K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,924 |
2,318 |
$42K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,061 |
932 |
$31K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
757 |
704 |
$26K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,248 |
1,185 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
258 |
243 |
$9K |
| S8301 |
Infection control supplies, not otherwise specified |
641 |
582 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
309 |
270 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
409 |
364 |
$4K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
184 |
166 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
38 |
$2K |
| 87807 |
|
185 |
174 |
$2K |
| 87802 |
|
168 |
156 |
$1K |
| 94760 |
|
1,069 |
992 |
$365.55 |
| 99441 |
|
50 |
41 |
$211.20 |
| 86580 |
|
15 |
13 |
$67.99 |
| 81003 |
|
48 |
43 |
$57.87 |
| 0011A |
|
14 |
13 |
$21.94 |
| 91301 |
|
13 |
12 |
$0.02 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
1,069 |
855 |
$0.00 |
| H0033 |
Oral medication administration, direct observation |
119 |
116 |
$0.00 |
| 99051 |
|
505 |
471 |
$0.00 |
| 99072 |
|
265 |
240 |
$0.00 |