| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,162 |
3,052 |
$270K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
412 |
341 |
$19K |
| 99215 |
Prolong outpt/office vis |
32 |
29 |
$3K |
| 96160 |
|
473 |
397 |
$1K |
| 94060 |
|
20 |
19 |
$920.91 |
| 93000 |
|
64 |
59 |
$712.86 |
| 99401 |
|
21 |
15 |
$545.47 |
| 94760 |
|
332 |
221 |
$451.10 |
| 99487 |
Ccm add 20min |
43 |
34 |
$418.23 |
| 96127 |
|
122 |
109 |
$417.97 |
| 81002 |
|
162 |
144 |
$382.33 |
| 99490 |
Ccm add 20min |
25 |
25 |
$324.80 |
| 94664 |
|
21 |
18 |
$129.96 |
| 82962 |
|
22 |
17 |
$42.95 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
19 |
16 |
$21.90 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
20 |
18 |
$0.98 |
| 99000 |
|
22 |
20 |
$0.00 |