| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
642 |
587 |
$30K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
91 |
91 |
$1K |
| 92551 |
|
53 |
53 |
$430.68 |
| 99000 |
|
110 |
110 |
$397.48 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
70 |
34 |
$394.20 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
97 |
92 |
$243.01 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
19 |
18 |
$173.70 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$120.45 |
| 90734 |
|
13 |
13 |
$117.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
48 |
47 |
$108.87 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
70 |
67 |
$98.13 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
91 |
86 |
$81.66 |
| 86580 |
|
17 |
16 |
$6.66 |
| 99173 |
|
35 |
35 |
$2.28 |
| 81002 |
|
38 |
36 |
$1.70 |