| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,972 |
12,379 |
$772K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
762 |
145 |
$113K |
| 95144 |
|
763 |
115 |
$79K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,053 |
1,682 |
$78K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
411 |
305 |
$15K |
| 64483 |
|
53 |
50 |
$13K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
58 |
56 |
$9K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
234 |
114 |
$9K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
409 |
305 |
$8K |
| 93923 |
|
86 |
82 |
$7K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
136 |
67 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
68 |
66 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
429 |
372 |
$6K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
44 |
43 |
$6K |
| 95943 |
|
68 |
62 |
$5K |
| 95923 |
|
66 |
62 |
$5K |
| 99152 |
|
242 |
184 |
$5K |
| 64635 |
|
21 |
12 |
$5K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
136 |
68 |
$4K |
| 64636 |
|
24 |
12 |
$4K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
414 |
305 |
$3K |
| 96136 |
|
86 |
81 |
$3K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,754 |
2,371 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
464 |
409 |
$622.47 |
| 96103 |
|
81 |
68 |
$480.29 |
| 96127 |
|
83 |
81 |
$229.98 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
256 |
215 |
$127.04 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
307 |
284 |
$100.83 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
240 |
201 |
$20.67 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
98 |
75 |
$15.57 |
| 99408 |
|
30 |
29 |
$0.00 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
15 |
13 |
$0.00 |