| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
11,976 |
11,516 |
$381K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,751 |
4,578 |
$271K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,106 |
3,086 |
$245K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,931 |
2,860 |
$236K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,402 |
1,390 |
$160K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,132 |
1,126 |
$135K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
649 |
644 |
$26K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
625 |
617 |
$26K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
796 |
782 |
$17K |
| 81025 |
|
1,343 |
1,311 |
$10K |
| 99215 |
Prolong outpt/office vis |
37 |
37 |
$4K |
| 81002 |
|
1,182 |
1,163 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
270 |
254 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
102 |
100 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
16 |
16 |
$250.35 |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
12 |
12 |
$15.60 |
| 3079F |
|
87 |
86 |
$0.00 |
| 3080F |
|
15 |
14 |
$0.00 |
| 3061F |
|
130 |
121 |
$0.00 |
| 3074F |
|
80 |
79 |
$0.00 |
| 3077F |
|
120 |
117 |
$0.00 |
| 3078F |
|
104 |
97 |
$0.00 |