| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,425 |
5,655 |
$425K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,842 |
3,831 |
$289K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,840 |
1,751 |
$159K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,233 |
3,025 |
$82K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
512 |
508 |
$57K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
686 |
685 |
$34K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
874 |
858 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
471 |
236 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
358 |
341 |
$3K |
| 81003 |
|
411 |
402 |
$624.03 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
13 |
$46.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$11.35 |
| 3074F |
|
898 |
819 |
$0.08 |
| 3078F |
|
1,009 |
929 |
$0.07 |
| 3077F |
|
146 |
140 |
$0.05 |
| 3079F |
|
225 |
218 |
$0.04 |
| 3075F |
|
240 |
235 |
$0.01 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
3,114 |
2,815 |
$0.01 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
28 |
27 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,150 |
1,043 |
$0.00 |
| 99072 |
|
1,729 |
1,509 |
$0.00 |
| S9083 |
Global fee urgent care centers |
17 |
17 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
358 |
321 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
30 |
29 |
$0.00 |