| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,271 |
7,709 |
$877K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,290 |
3,236 |
$345K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,020 |
2,894 |
$309K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,264 |
1,261 |
$128K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
816 |
815 |
$84K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
638 |
626 |
$62K |
| 99201 |
|
102 |
102 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,768 |
2,678 |
$295.80 |
| S9083 |
Global fee urgent care centers |
418 |
409 |
$222.00 |
| 71046 |
Radiologic examination, chest; 2 views |
221 |
210 |
$27.34 |
| 81002 |
|
642 |
626 |
$22.06 |
| 81025 |
|
253 |
247 |
$12.75 |
| 3078F |
|
13 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
68 |
43 |
$0.00 |
| 73610 |
|
12 |
12 |
$0.00 |
| 3074F |
|
68 |
65 |
$0.00 |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
17 |
15 |
$0.00 |