| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
326 |
319 |
$73K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
924 |
858 |
$53K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
549 |
530 |
$22K |
| 94060 |
|
133 |
131 |
$6K |
| 94729 |
|
132 |
130 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
88 |
82 |
$5K |
| 94727 |
|
132 |
130 |
$4K |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
296 |
286 |
$4K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
66 |
62 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
85 |
85 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
182 |
181 |
$2K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
18 |
18 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
303 |
292 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$944.55 |
| 94200 |
|
131 |
129 |
$782.88 |
| 92561 |
|
23 |
23 |
$671.26 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
47 |
47 |
$551.88 |
| 99188 |
|
37 |
37 |
$455.10 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
459 |
443 |
$299.95 |
| 85018 |
|
50 |
50 |
$121.32 |
| 81000 |
|
42 |
42 |
$93.01 |
| A7015 |
Aerosol mask, used with dme nebulizer |
46 |
46 |
$81.22 |
| 94760 |
|
42 |
42 |
$76.80 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
48 |
48 |
$16.70 |
| 99000 |
|
176 |
175 |
$0.00 |
| 99173 |
|
37 |
37 |
$0.00 |