| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,356 |
1,258 |
$105K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,495 |
1,386 |
$91K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
282 |
267 |
$16K |
| 93304 |
|
129 |
102 |
$12K |
| 93325 |
|
213 |
172 |
$7K |
| 93321 |
|
168 |
135 |
$5K |
| 93000 |
|
258 |
167 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
387 |
368 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
675 |
315 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54 |
54 |
$3K |
| 99215 |
Prolong outpt/office vis |
29 |
27 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
48 |
47 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
255 |
236 |
$716.68 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
47 |
43 |
$506.26 |
| 87807 |
|
71 |
66 |
$407.30 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
38 |
35 |
$348.34 |
| 71046 |
Radiologic examination, chest; 2 views |
15 |
12 |
$238.65 |
| 81002 |
|
84 |
78 |
$116.80 |
| 94760 |
|
54 |
49 |
$5.23 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
17 |
15 |
$0.15 |