| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
259 |
248 |
$107K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
786 |
699 |
$52K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
337 |
319 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
68 |
63 |
$5K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
15 |
14 |
$1K |
| 94060 |
|
27 |
26 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
23 |
21 |
$1K |
| 94729 |
|
27 |
26 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
18 |
18 |
$1K |
| 94727 |
|
27 |
26 |
$937.94 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
57 |
53 |
$761.68 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
20 |
20 |
$706.06 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
65 |
63 |
$684.62 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
37 |
35 |
$536.63 |
| 92561 |
|
13 |
13 |
$438.62 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
148 |
137 |
$437.82 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$288.86 |
| 99188 |
|
15 |
15 |
$184.50 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
164 |
158 |
$118.46 |
| 94200 |
|
27 |
26 |
$110.05 |
| A7015 |
Aerosol mask, used with dme nebulizer |
37 |
35 |
$65.35 |
| 85018 |
|
37 |
37 |
$64.26 |
| 81000 |
|
32 |
31 |
$48.58 |
| 94760 |
|
38 |
36 |
$42.75 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
38 |
36 |
$9.64 |
| 99000 |
|
50 |
49 |
$0.00 |
| 99173 |
|
15 |
15 |
$0.00 |