| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,857 |
8,741 |
$898K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,666 |
1,641 |
$222K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
4,216 |
3,881 |
$69K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,588 |
1,284 |
$39K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,159 |
2,127 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
260 |
232 |
$20K |
| 87807 |
|
260 |
255 |
$4K |
| 99051 |
|
571 |
535 |
$3K |
| 0003A |
|
12 |
12 |
$480.00 |