| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9083 |
Global fee urgent care centers |
628 |
611 |
$78K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
144 |
138 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
61 |
54 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54 |
53 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
16 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
32 |
31 |
$680.15 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
47 |
42 |
$623.53 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
32 |
29 |
$324.05 |
| 81003 |
|
16 |
15 |
$25.82 |