| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99241 |
|
426 |
359 |
$42K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
469 |
420 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
526 |
440 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
215 |
190 |
$17K |
| 99242 |
|
45 |
38 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
158 |
120 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
92 |
80 |
$5K |
| S9083 |
Global fee urgent care centers |
14 |
13 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
15 |
15 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
177 |
164 |
$934.18 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
247 |
220 |
$711.57 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
127 |
119 |
$458.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
66 |
50 |
$31.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
26 |
$15.65 |
| 81003 |
|
64 |
57 |
$8.72 |
| 87807 |
|
14 |
14 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
90 |
80 |
$0.00 |
| 99051 |
|
16 |
16 |
$0.00 |