| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
2,361 |
2,301 |
$69K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,582 |
1,540 |
$69K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,048 |
1,022 |
$58K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
493 |
486 |
$37K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,007 |
995 |
$34K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
160 |
159 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
234 |
233 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$739.57 |
| 81003 |
|
41 |
41 |
$89.25 |
| 81025 |
|
12 |
12 |
$77.60 |
| 1111F |
|
283 |
270 |
$21.80 |
| 3008F |
|
552 |
513 |
$0.00 |
| 3074F |
|
414 |
399 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
111 |
110 |
$0.00 |
| 3079F |
|
33 |
31 |
$0.00 |
| 1000F |
|
47 |
47 |
$0.00 |
| 3725F |
|
110 |
110 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
375 |
348 |
$0.00 |
| 3078F |
|
143 |
141 |
$0.00 |
| 1033F |
|
27 |
27 |
$0.00 |