| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,042 |
5,654 |
$368K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
918 |
794 |
$73K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
1,544 |
1,236 |
$58K |
| 99051 |
|
8,570 |
7,921 |
$13K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
105 |
88 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
12 |
$766.61 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
39 |
39 |
$628.14 |
| 81003 |
|
203 |
170 |
$285.43 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
15 |
$223.12 |
| 71046 |
Radiologic examination, chest; 2 views |
14 |
12 |
$139.51 |
| 94760 |
|
99 |
98 |
$127.00 |
| 99000 |
|
248 |
238 |
$15.20 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
12 |
$12.52 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
1,086 |
1,065 |
$6.73 |
| 3074F |
|
1,664 |
1,624 |
$0.00 |
| 3079F |
|
13 |
12 |
$0.00 |
| 99070 |
|
48 |
48 |
$0.00 |
| 3078F |
|
1,409 |
1,376 |
$0.00 |
| 1159F |
|
1,691 |
1,665 |
$0.00 |