| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,007 |
979 |
$56K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
127 |
126 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
109 |
107 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
28 |
28 |
$504.90 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
42 |
37 |
$486.20 |
| 81002 |
|
55 |
55 |
$131.76 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
13 |
13 |
$2.09 |