| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,541 |
8,042 |
$581K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,314 |
3,146 |
$228K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,774 |
2,617 |
$206K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12,038 |
11,280 |
$107K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,747 |
1,637 |
$87K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,426 |
1,336 |
$81K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
284 |
271 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,940 |
1,367 |
$14K |
| 87428 |
|
790 |
754 |
$13K |
| 99215 |
Prolong outpt/office vis |
92 |
87 |
$9K |
| 87400 |
|
2,219 |
1,044 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,196 |
1,128 |
$5K |
| 87430 |
|
963 |
908 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
45 |
38 |
$358.34 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
2,277 |
2,191 |
$57.75 |
| J3490 |
Unclassified drugs |
13 |
12 |
$0.00 |
| 99000 |
|
13 |
12 |
$0.00 |