| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,123 |
859 |
$74K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
371 |
312 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
425 |
336 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
236 |
172 |
$13K |
| 99402 |
|
210 |
152 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
70 |
55 |
$1K |
| 99000 |
|
208 |
174 |
$257.58 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
19 |
13 |
$100.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
61 |
54 |
$93.85 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
37 |
28 |
$66.69 |
| 99401 |
|
280 |
222 |
$0.00 |
| 99072 |
|
16 |
15 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
215 |
170 |
$0.00 |
| 2000F |
|
13 |
12 |
$0.00 |