| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
51 |
50 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
64 |
62 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
69 |
66 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
42 |
42 |
$1K |
| A4258 |
Spring-powered device for lancet, each |
66 |
64 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
50 |
48 |
$966.35 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
25 |
24 |
$950.65 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
49 |
46 |
$828.00 |
| 87070 |
|
45 |
44 |
$702.34 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
47 |
47 |
$655.18 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
50 |
50 |
$473.50 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
36 |
35 |
$113.32 |
| A7004 |
Small volume nonfiltered pneumatic nebulizer, disposable |
49 |
46 |
$87.75 |
| 36416 |
|
19 |
18 |
$0.00 |