| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,502 |
9,352 |
$725K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,404 |
3,402 |
$324K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,815 |
1,807 |
$192K |
| 87428 |
|
5,288 |
5,261 |
$169K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,418 |
1,414 |
$42K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
287 |
287 |
$40K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,190 |
2,186 |
$31K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
382 |
378 |
$16K |
| 87634 |
|
244 |
243 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
503 |
502 |
$10K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
94 |
94 |
$8K |
| 87807 |
|
473 |
473 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
76 |
76 |
$807.54 |
| 74018 |
|
38 |
38 |
$674.66 |
| 99051 |
|
80 |
79 |
$540.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
13 |
$382.72 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
80 |
80 |
$167.68 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
24 |
24 |
$165.27 |
| A7000 |
Canister, disposable, used with suction pump, each |
12 |
12 |
$109.80 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
14 |
14 |
$48.00 |
| A7002 |
Tubing, used with suction pump, each |
12 |
12 |
$47.88 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
60 |
60 |
$4.36 |