| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,949 |
9,359 |
$797K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,622 |
2,591 |
$212K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
884 |
878 |
$71K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
616 |
587 |
$27K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,719 |
1,679 |
$3K |
| 81002 |
|
1,046 |
1,026 |
$739.93 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
238 |
234 |
$560.52 |
| 81025 |
|
375 |
364 |
$493.82 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
92 |
90 |
$170.91 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
92 |
90 |
$139.45 |
| 94760 |
|
1,147 |
1,110 |
$18.00 |
| 99000 |
|
1,201 |
1,167 |
$18.00 |
| A9150 |
Non-prescription drugs |
21 |
21 |
$2.24 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
16 |
12 |
$0.00 |