| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,617 |
3,295 |
$29K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
785 |
783 |
$28K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
417 |
371 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
768 |
766 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
117 |
112 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
650 |
596 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
236 |
227 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
46 |
44 |
$1K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
6,379 |
5,814 |
$898.99 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
103 |
81 |
$651.36 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
443 |
218 |
$553.99 |
| 99000 |
|
567 |
538 |
$342.28 |
| 99051 |
|
2,988 |
2,818 |
$194.48 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$88.16 |
| 81003 |
|
263 |
241 |
$60.63 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
216 |
212 |
$21.55 |
| 36415 |
Collection of venous blood by venipuncture |
81 |
80 |
$15.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
26 |
25 |
$0.00 |
| 99447 |
|
13 |
13 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
15 |
15 |
$0.00 |