| Code | Description | Claims | Beneficiaries | Total Paid |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
2,469 |
2,424 |
$67K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,670 |
1,636 |
$57K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
740 |
734 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
289 |
289 |
$16K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
168 |
168 |
$6K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
31 |
31 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
422 |
421 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
97 |
97 |
$2K |
| 81003 |
|
165 |
163 |
$507.90 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
14 |
14 |
$454.96 |
| 87428 |
|
18 |
18 |
$404.44 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
12 |
$260.00 |
| 81025 |
|
54 |
54 |
$246.80 |