| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,255 |
1,060 |
$166K |
| 99050 |
|
225 |
180 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
595 |
438 |
$492.67 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
590 |
435 |
$456.60 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
311 |
220 |
$38.31 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
492 |
186 |
$27.80 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
618 |
477 |
$11.57 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
88 |
86 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
171 |
166 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
12 |
12 |
$0.00 |
| 87807 |
|
151 |
120 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27 |
27 |
$0.00 |