| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,385 |
4,646 |
$287K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,162 |
3,463 |
$284K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,238 |
1,989 |
$142K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,427 |
1,250 |
$127K |
| 87428 |
|
1,563 |
1,451 |
$54K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,044 |
1,738 |
$54K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,545 |
1,293 |
$21K |
| 87430 |
|
561 |
525 |
$7K |
| 81025 |
|
1,014 |
920 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
502 |
207 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
372 |
322 |
$4K |
| 81003 |
|
930 |
830 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
196 |
155 |
$2K |
| 99000 |
|
439 |
382 |
$379.86 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
641 |
495 |
$202.59 |
| 81005 |
|
44 |
40 |
$10.96 |
| 99051 |
|
38 |
29 |
$0.00 |