C. Urgent care admission, deductible is met Urgent care visit at Top Notch Urgent Care (out-of-network) Urgent care visit DOS: 07/04/2018 Allowable Charges = $230.00 Diagnosis: J02.0, Streptococcal pharyngitis Procedure: 99203, Level 3 clinic visit Procedure: 87880, Infectious agent antigen detection by immunoassay with direct optical observation; Streptococcus, group A Cost-sharing amount is _________