| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,260 |
3,878 |
$242K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,466 |
2,090 |
$175K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,501 |
3,085 |
$152K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,111 |
1,823 |
$103K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,306 |
1,126 |
$85K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
604 |
553 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,722 |
1,415 |
$17K |
| 87428 |
|
31 |
30 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
238 |
95 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
94 |
77 |
$2K |
| 99000 |
|
123 |
116 |
$730.00 |
| 99401 |
|
40 |
30 |
$713.72 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
18 |
18 |
$631.08 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
47 |
38 |
$339.44 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
52 |
45 |
$0.00 |