| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,068 |
889 |
$60K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
304 |
286 |
$23K |
| 99058 |
|
609 |
504 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
250 |
231 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
141 |
89 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35 |
31 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
14 |
$951.98 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
48 |
42 |
$337.95 |
| 99051 |
|
298 |
268 |
$240.00 |
| 92567 |
|
38 |
36 |
$238.56 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
21 |
15 |
$161.60 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
118 |
111 |
$43.14 |
| 81002 |
|
15 |
13 |
$31.68 |
| 99050 |
|
13 |
13 |
$15.00 |
| 99000 |
|
170 |
158 |
$0.00 |