| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
550 |
469 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
275 |
219 |
$6K |
| 87428 |
|
84 |
79 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
311 |
281 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
167 |
87 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
208 |
171 |
$895.56 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38 |
35 |
$90.60 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
44 |
43 |
$77.18 |
| 81001 |
|
17 |
14 |
$31.92 |
| 99474 |
|
12 |
12 |
$22.46 |
| 81000 |
|
15 |
13 |
$16.90 |
| 94760 |
|
40 |
38 |
$5.60 |
| 99072 |
|
222 |
191 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
629 |
493 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
37 |
29 |
$0.00 |