| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
251 |
243 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
227 |
222 |
$13K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
127 |
121 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
220 |
84 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
99 |
92 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
14 |
$710.13 |
| 81003 |
|
15 |
14 |
$24.31 |
| 99051 |
|
54 |
53 |
$22.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
103 |
100 |
$10.00 |
| 90619 |
|
19 |
19 |
$0.05 |