| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9083 |
Global fee urgent care centers |
4,702 |
4,411 |
$370K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,063 |
5,237 |
$318K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
8,338 |
7,442 |
$219K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,800 |
3,398 |
$219K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,772 |
2,547 |
$213K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
429 |
358 |
$42K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
171 |
145 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
92 |
85 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
528 |
474 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
15 |
15 |
$675.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
30 |
16 |
$630.00 |
| 92015 |
Determination of refractive state |
13 |
13 |
$585.00 |
| 81003 |
|
340 |
309 |
$185.79 |
| 99000 |
|
34 |
33 |
$0.00 |