| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,315 |
2,179 |
$111K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,279 |
1,274 |
$78K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,258 |
1,213 |
$77K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
313 |
312 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
524 |
508 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
75 |
75 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
288 |
263 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
38 |
38 |
$2K |
| 81025 |
|
202 |
199 |
$980.51 |
| 81003 |
|
419 |
411 |
$869.49 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
70 |
64 |
$514.50 |
| 71046 |
Radiologic examination, chest; 2 views |
36 |
33 |
$395.34 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
146 |
138 |
$167.69 |
| 81002 |
|
41 |
40 |
$69.12 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
79 |
79 |
$37.17 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
800 |
758 |
$0.00 |
| 99051 |
|
21 |
21 |
$0.00 |