| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99241 |
|
900 |
706 |
$88K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
617 |
550 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
627 |
512 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
410 |
315 |
$16K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
98 |
96 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
121 |
111 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
140 |
96 |
$2K |
| 99242 |
|
12 |
12 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
451 |
395 |
$465.86 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
157 |
127 |
$321.86 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
131 |
105 |
$164.90 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
297 |
252 |
$160.24 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
90 |
78 |
$78.25 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
132 |
126 |
$0.00 |
| 81003 |
|
32 |
26 |
$0.00 |
| 99051 |
|
13 |
13 |
$0.00 |