| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,668 |
2,659 |
$191K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,247 |
2,096 |
$183K |
| S9083 |
Global fee urgent care centers |
1,561 |
1,421 |
$109K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
716 |
696 |
$59K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
1,226 |
1,089 |
$36K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
449 |
448 |
$32K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
159 |
158 |
$13K |
| 99215 |
Prolong outpt/office vis |
125 |
124 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
38 |
36 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
124 |
101 |
$623.50 |
| 90674 |
|
64 |
64 |
$355.62 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
194 |
189 |
$280.99 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
71 |
71 |
$145.94 |
| 81025 |
|
29 |
29 |
$28.00 |
| 99000 |
|
115 |
112 |
$16.04 |
| 81003 |
|
28 |
28 |
$15.35 |
| 99051 |
|
27 |
27 |
$0.00 |