| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,637 |
4,393 |
$220K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,730 |
2,646 |
$165K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,522 |
2,509 |
$151K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
922 |
908 |
$36K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,569 |
1,514 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
80 |
79 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$2K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
18 |
18 |
$2K |
| 81003 |
|
809 |
797 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
80 |
78 |
$819.69 |
| 90686 |
|
38 |
36 |
$418.66 |
| 81025 |
|
63 |
63 |
$392.15 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
57 |
55 |
$385.00 |
| 99051 |
|
828 |
787 |
$227.76 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
20 |
18 |
$157.30 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
9,653 |
9,019 |
$7.83 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
18 |
16 |
$0.61 |