| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,745 |
3,654 |
$133K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
869 |
866 |
$47K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
1,611 |
1,580 |
$44K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
584 |
584 |
$33K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
280 |
280 |
$27K |
| 87428 |
|
569 |
566 |
$14K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
333 |
333 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
637 |
634 |
$4K |
| 81003 |
|
431 |
426 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
44 |
44 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
34 |
34 |
$1K |
| 81025 |
|
248 |
244 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
15 |
14 |
$603.02 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
25 |
25 |
$583.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
17 |
$454.33 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
26 |
$355.30 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
43 |
42 |
$0.00 |