| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9083 |
Global fee urgent care centers |
5,101 |
4,777 |
$279K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,076 |
1,067 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,962 |
1,852 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,344 |
1,282 |
$17K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
337 |
337 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
56 |
56 |
$108.56 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
38 |
38 |
$95.52 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
36 |
$4.42 |
| 1160F |
|
1,513 |
1,462 |
$0.00 |
| 0521F |
|
2,038 |
1,921 |
$0.00 |
| 1159F |
|
1,533 |
1,482 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
43 |
42 |
$0.00 |
| 3077F |
|
208 |
202 |
$0.00 |
| 3078F |
|
1,219 |
1,173 |
$0.00 |
| 99499 |
|
31 |
31 |
$0.00 |
| 1125F |
|
2,038 |
1,921 |
$0.00 |
| 3074F |
|
1,492 |
1,431 |
$0.00 |
| 3080F |
|
174 |
169 |
$0.00 |
| 3075F |
|
246 |
243 |
$0.00 |
| 3079F |
|
553 |
535 |
$0.00 |
| 3008F |
|
13 |
13 |
$0.00 |
| 99000 |
|
39 |
37 |
$0.00 |