| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,219 |
1,122 |
$80K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
169 |
161 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
154 |
154 |
$14K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
36 |
36 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$3K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
252 |
239 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
76 |
72 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16 |
16 |
$902.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
254 |
250 |
$608.76 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$590.62 |
| 99051 |
|
211 |
203 |
$254.89 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16 |
15 |
$107.84 |
| 36415 |
Collection of venous blood by venipuncture |
38 |
37 |
$74.16 |
| 99000 |
|
339 |
323 |
$11.22 |