| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
23,275 |
22,650 |
$2.19M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,578 |
1,545 |
$306K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32 |
32 |
$4K |
| 99441 |
|
37 |
37 |
$882.08 |
| 99442 |
|
14 |
14 |
$300.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$300.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
28 |
$150.00 |
| 90688 |
|
13 |
13 |
$90.00 |
| 99000 |
|
773 |
763 |
$72.95 |
| 81002 |
|
650 |
641 |
$14.91 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
108 |
107 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
16 |
16 |
$0.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
13 |
13 |
$0.00 |
| 97597 |
|
16 |
15 |
$0.00 |