| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
333 |
314 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
387 |
356 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
145 |
121 |
$12K |
| S9083 |
Global fee urgent care centers |
74 |
71 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
172 |
161 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
54 |
28 |
$538.38 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$293.04 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13 |
12 |
$269.16 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
25 |
$248.88 |
| 99072 |
|
28 |
28 |
$0.00 |
| 4040F |
|
138 |
116 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
32 |
31 |
$0.00 |
| 99000 |
|
14 |
14 |
$0.00 |