| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
222 |
211 |
$14K |
| 94729 |
|
140 |
140 |
$4K |
| 94727 |
|
110 |
110 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
122 |
121 |
$2K |
| 94060 |
|
54 |
54 |
$2K |
| 94010 |
|
98 |
98 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$872.23 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
52 |
52 |
$1.92 |