| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
283 |
252 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
204 |
197 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
58 |
52 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
71 |
66 |
$925.51 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
67 |
64 |
$836.03 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
35 |
30 |
$341.01 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
17 |
16 |
$1.51 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
32 |
30 |
$1.07 |