| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,574 |
4,428 |
$359K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,699 |
3,583 |
$288K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
773 |
742 |
$61K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
260 |
253 |
$22K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
39 |
38 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
160 |
127 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
83 |
70 |
$252.91 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
51 |
42 |
$84.84 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
21 |
19 |
$36.94 |
| 81002 |
|
83 |
63 |
$32.90 |
| 81025 |
|
13 |
13 |
$29.92 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
33 |
26 |
$0.74 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
55 |
50 |
$0.00 |