| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
544 |
474 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
240 |
195 |
$11K |
| 87430 |
|
208 |
166 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
169 |
158 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
53 |
27 |
$790.15 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
13 |
$510.94 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
12 |
$403.79 |
| 94760 |
|
51 |
49 |
$14.86 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
252 |
229 |
$0.00 |