| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
612 |
580 |
$855.73 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
191 |
164 |
$802.03 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
3,205 |
3,022 |
$375.65 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
177 |
177 |
$236.75 |
| 99000 |
|
532 |
498 |
$204.58 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,082 |
1,054 |
$191.98 |
| 99051 |
|
1,847 |
1,778 |
$126.38 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
349 |
179 |
$116.16 |
| 94760 |
|
804 |
775 |
$103.48 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
242 |
238 |
$13.98 |
| A9150 |
Non-prescription drugs |
114 |
113 |
$10.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
15 |
14 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
12 |
$0.00 |