| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
681 |
647 |
$71K |
| 94664 |
|
1,066 |
970 |
$16K |
| 94010 |
|
207 |
195 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58 |
56 |
$4K |
| 94726 |
|
40 |
40 |
$2K |
| 94375 |
|
99 |
99 |
$2K |
| 94760 |
|
704 |
646 |
$689.58 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
15 |
$243.36 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
12 |
12 |
$97.23 |
| 96160 |
|
14 |
14 |
$34.64 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
15 |
15 |
$17.76 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
15 |
15 |
$2.65 |
| 99072 |
|
259 |
242 |
$0.00 |