| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,703 |
5,173 |
$517K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,531 |
1,523 |
$141K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
5,085 |
4,695 |
$15K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
45 |
45 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
55 |
54 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
32 |
32 |
$3K |
| 81025 |
|
184 |
173 |
$1K |
| 99051 |
|
1,088 |
1,015 |
$803.70 |
| 81003 |
|
720 |
694 |
$167.64 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
35 |
18 |
$140.34 |
| 82948 |
|
268 |
251 |
$102.89 |
| 99050 |
|
1,770 |
1,693 |
$97.68 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$49.29 |
| 99000 |
|
136 |
132 |
$32.35 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
18 |
$6.92 |
| 36416 |
|
137 |
128 |
$3.00 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
25 |
25 |
$0.00 |