| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
453 |
442 |
$21K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
81 |
76 |
$11K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
60 |
59 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35 |
31 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$628.18 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
20 |
14 |
$290.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
19 |
14 |
$2.25 |