| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,054 |
827 |
$77K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
630 |
456 |
$32K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
294 |
273 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
240 |
228 |
$17K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
141 |
126 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
215 |
103 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
105 |
100 |
$1K |
| 99000 |
|
267 |
240 |
$563.08 |
| 36415 |
Collection of venous blood by venipuncture |
158 |
138 |
$320.49 |
| 99072 |
|
119 |
104 |
$200.00 |
| 96127 |
|
13 |
13 |
$66.69 |
| 99051 |
|
63 |
59 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
15 |
15 |
$0.00 |