| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,288 |
5,937 |
$612K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,830 |
5,504 |
$567K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,123 |
2,116 |
$206K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,829 |
1,815 |
$180K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
532 |
500 |
$48K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
502 |
501 |
$47K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
284 |
273 |
$27K |
| 99201 |
|
33 |
33 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,750 |
2,681 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,983 |
987 |
$2K |
| 87807 |
|
409 |
399 |
$2K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
176 |
168 |
$95.00 |
| S9083 |
Global fee urgent care centers |
896 |
858 |
$55.00 |
| 81003 |
|
100 |
99 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
14 |
$0.00 |
| A9150 |
Non-prescription drugs |
35 |
35 |
$0.00 |