| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,485 |
3,987 |
$348K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,547 |
1,458 |
$117K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
498 |
460 |
$29K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
157 |
153 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,542 |
1,400 |
$12K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
94 |
88 |
$1K |
| 99000 |
|
803 |
701 |
$1K |
| 94760 |
|
1,715 |
1,529 |
$457.92 |
| 81002 |
|
43 |
41 |
$90.64 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
82 |
80 |
$68.96 |
| A7015 |
Aerosol mask, used with dme nebulizer |
85 |
83 |
$55.82 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
42 |
42 |
$1.65 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
21 |
17 |
$0.24 |
| 99051 |
|
369 |
331 |
$0.00 |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
504 |
468 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
897 |
776 |
$0.00 |