| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
1,751 |
1,727 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
736 |
718 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
784 |
773 |
$36K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
275 |
273 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
161 |
155 |
$18K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
171 |
170 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
166 |
165 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
419 |
412 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
183 |
181 |
$3K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
14 |
14 |
$2K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
12 |
12 |
$495.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
16 |
$371.80 |
| 81003 |
|
12 |
12 |
$30.60 |
| 3078F |
|
176 |
175 |
$0.00 |
| 3074F |
|
240 |
239 |
$0.00 |
| 3008F |
|
136 |
134 |
$0.00 |
| 3079F |
|
67 |
67 |
$0.00 |