| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
428 |
385 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
327 |
289 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
143 |
131 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
175 |
161 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
195 |
166 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
348 |
288 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
80 |
71 |
$579.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
252 |
223 |
$525.42 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$170.69 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
183 |
165 |
$119.73 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
84 |
74 |
$0.13 |