| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,516 |
2,422 |
$161K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,449 |
1,343 |
$94K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
199 |
176 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
191 |
189 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
136 |
68 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$569.86 |
| 81002 |
|
181 |
177 |
$528.16 |
| 94760 |
|
104 |
101 |
$40.25 |
| 99000 |
|
203 |
200 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
332 |
305 |
$0.00 |
| 99051 |
|
65 |
63 |
$0.00 |