| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,631 |
5,485 |
$197K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,400 |
1,391 |
$74K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
833 |
833 |
$46K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
1,242 |
1,219 |
$34K |
| 87428 |
|
1,020 |
1,017 |
$25K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
171 |
171 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,199 |
1,190 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
276 |
269 |
$7K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
169 |
169 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
84 |
83 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
74 |
72 |
$3K |
| 81003 |
|
488 |
486 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
51 |
$1K |
| 81025 |
|
210 |
210 |
$898.72 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26 |
26 |
$363.22 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
15 |
15 |
$0.00 |