| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,348 |
2,272 |
$217K |
| 99215 |
Prolong outpt/office vis |
1,304 |
798 |
$102K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,509 |
1,354 |
$72K |
| 99199 |
Unlisted special service, procedure or report |
8,945 |
4,314 |
$47K |
| 99406 |
|
4,251 |
2,581 |
$33K |
| 80305 |
|
1,897 |
1,164 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
225 |
158 |
$3K |
| 99205 |
Prolong outpt/office vis |
15 |
14 |
$2K |
| 82962 |
|
1,350 |
937 |
$2K |
| 81003 |
|
1,362 |
974 |
$2K |
| 93000 |
|
111 |
92 |
$1K |
| 84703 |
|
86 |
64 |
$583.20 |
| 36415 |
Collection of venous blood by venipuncture |
576 |
340 |
$445.04 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
62 |
39 |
$282.04 |
| 99408 |
|
20 |
14 |
$259.67 |
| 99401 |
|
32 |
17 |
$233.27 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
24 |
$231.05 |
| 90674 |
|
59 |
40 |
$189.35 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18 |
14 |
$141.30 |
| 99358 |
Prolong nursin fac eval 15m |
15 |
12 |
$109.65 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
45 |
27 |
$0.10 |
| G0008 |
Administration of influenza virus vaccine |
15 |
14 |
$0.00 |
| 94761 |
|
30 |
25 |
$0.00 |