| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,828 |
9,043 |
$610K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,053 |
3,545 |
$254K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,534 |
3,351 |
$168K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
324 |
285 |
$29K |
| 99215 |
Prolong outpt/office vis |
245 |
235 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
418 |
193 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
74 |
73 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
245 |
231 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
15 |
14 |
$1K |
| 81025 |
|
143 |
129 |
$879.16 |
| 81003 |
|
418 |
373 |
$764.99 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
26 |
$326.02 |
| 90686 |
|
17 |
17 |
$194.07 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
13 |
$140.56 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$19.53 |
| A9150 |
Non-prescription drugs |
164 |
157 |
$2.80 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
13 |
12 |
$0.41 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
87 |
45 |
$0.00 |