| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,302 |
1,787 |
$222K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
379 |
328 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
81 |
78 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
251 |
163 |
$9K |
| 99050 |
|
332 |
283 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
157 |
68 |
$2K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
1,339 |
1,087 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
83 |
78 |
$789.80 |
| 71046 |
Radiologic examination, chest; 2 views |
15 |
13 |
$372.54 |
| 81002 |
|
13 |
12 |
$30.47 |