| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,403 |
1,373 |
$58K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
130 |
130 |
$10K |
| 94726 |
|
353 |
351 |
$7K |
| 94729 |
|
329 |
327 |
$7K |
| 94060 |
|
301 |
299 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
91 |
53 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31 |
31 |
$1K |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
111 |
111 |
$1.83 |