| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
256 |
214 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
161 |
141 |
$10K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
806 |
422 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
60 |
49 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
108 |
81 |
$459.57 |
| 99305 |
|
59 |
56 |
$446.30 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$219.80 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
138 |
120 |
$8.00 |
| 99051 |
|
17 |
12 |
$0.00 |
| 99306 |
Prolong nursin fac eval 15m |
16 |
16 |
$0.00 |