| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99058 |
|
1,132 |
1,038 |
$70K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
757 |
720 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
924 |
889 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
174 |
169 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
187 |
187 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
243 |
220 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
49 |
48 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
146 |
143 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
28 |
$301.62 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
15 |
12 |
$88.04 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
75 |
73 |
$72.49 |
| 81002 |
|
24 |
24 |
$48.96 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
1,316 |
1,250 |
$0.00 |