| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,382 |
1,157 |
$111K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,611 |
1,433 |
$87K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
704 |
578 |
$59K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,160 |
1,059 |
$57K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
558 |
527 |
$15K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
426 |
341 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
579 |
398 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
803 |
709 |
$11K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
263 |
247 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
149 |
127 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
342 |
259 |
$3K |
| 81003 |
|
948 |
788 |
$2K |
| 81025 |
|
353 |
297 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
85 |
85 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
35 |
14 |
$858.55 |
| 87807 |
|
81 |
69 |
$652.81 |
| 99000 |
|
12 |
12 |
$328.44 |
| 81002 |
|
123 |
113 |
$312.00 |
| 87808 |
|
12 |
12 |
$183.48 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
34 |
27 |
$31.85 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
13 |
13 |
$25.00 |
| 99051 |
|
26 |
26 |
$0.00 |