| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
986 |
936 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,927 |
1,617 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
940 |
872 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
264 |
262 |
$496.59 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27 |
24 |
$98.18 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
219 |
118 |
$93.75 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
253 |
148 |
$58.50 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
84 |
78 |
$21.32 |
| 81003 |
|
296 |
261 |
$15.68 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
118 |
86 |
$0.42 |
| 99051 |
|
505 |
466 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
300 |
140 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
567 |
500 |
$0.00 |