| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
617 |
611 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
559 |
519 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
69 |
69 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
56 |
55 |
$983.90 |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$854.61 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
53 |
$332.30 |
| 99000 |
|
154 |
150 |
$304.29 |
| 81003 |
|
181 |
172 |
$287.04 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
1,412 |
1,299 |
$259.34 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
13 |
$241.92 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
42 |
16 |
$227.76 |
| 81025 |
|
81 |
80 |
$199.47 |
| 99051 |
|
839 |
802 |
$83.95 |