| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
906 |
826 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
310 |
286 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
280 |
273 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
95 |
91 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
165 |
144 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
86 |
83 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
299 |
288 |
$1K |
| 0001A |
|
54 |
53 |
$890.00 |
| 99000 |
|
160 |
153 |
$784.47 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
1,951 |
1,752 |
$698.61 |
| 0002A |
|
37 |
36 |
$538.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
184 |
179 |
$404.28 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
44 |
43 |
$249.74 |
| 87428 |
|
12 |
12 |
$143.31 |
| 0031A |
|
22 |
22 |
$110.72 |
| 87807 |
|
15 |
14 |
$52.80 |
| 99072 |
|
66 |
61 |
$27.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
37 |
37 |
$10.90 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
42 |
41 |
$0.00 |
| 94760 |
|
43 |
42 |
$0.00 |
| 91303 |
|
21 |
21 |
$0.00 |
| 91300 |
|
135 |
118 |
$0.00 |