| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
14,313 |
13,651 |
$425K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,752 |
6,473 |
$386K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,463 |
4,320 |
$354K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,076 |
2,071 |
$172K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,124 |
1,117 |
$137K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,074 |
1,056 |
$120K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,068 |
2,029 |
$45K |
| G9012 |
Other specified case management service not elsewhere classified |
143 |
143 |
$40K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
632 |
627 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
833 |
822 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
266 |
263 |
$9K |
| 99215 |
Prolong outpt/office vis |
55 |
55 |
$6K |
| 81025 |
|
414 |
407 |
$3K |
| 81002 |
|
681 |
669 |
$2K |
| 73630 |
|
84 |
83 |
$2K |
| 80305 |
|
141 |
131 |
$2K |
| 73610 |
|
66 |
64 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$771.42 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
17 |
17 |
$542.70 |
| 90715 |
|
13 |
13 |
$385.56 |
| 73110 |
|
12 |
12 |
$315.72 |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
147 |
147 |
$203.30 |
| 4010F |
|
56 |
53 |
$0.02 |
| 3074F |
|
92 |
91 |
$0.00 |
| 3079F |
|
82 |
81 |
$0.00 |
| 3044F |
|
14 |
12 |
$0.00 |
| 3075F |
|
14 |
13 |
$0.00 |
| 3077F |
|
81 |
79 |
$0.00 |
| 3078F |
|
90 |
88 |
$0.00 |