| Code | Description | Claims | Beneficiaries | Total Paid |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
1,494 |
1,472 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
852 |
836 |
$45K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
311 |
307 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
152 |
152 |
$12K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
222 |
218 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
223 |
220 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
62 |
62 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
31 |
29 |
$533.08 |
| 71046 |
Radiologic examination, chest; 2 views |
17 |
17 |
$408.57 |
| 81003 |
|
30 |
30 |
$72.68 |