| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,952 |
3,731 |
$257K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,923 |
1,915 |
$138K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
956 |
949 |
$29K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,166 |
1,152 |
$18K |
| 81025 |
|
159 |
158 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
30 |
30 |
$1K |
| 81002 |
|
235 |
233 |
$780.20 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
12 |
12 |
$0.61 |