| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
21,453 |
2,947 |
$4.25M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
57,059 |
52,104 |
$3.61M |
| 95144 |
|
21,973 |
3,056 |
$2.53M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41,764 |
39,041 |
$1.97M |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
7,483 |
7,265 |
$1.58M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,583 |
6,397 |
$422K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
9,481 |
8,914 |
$124K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,464 |
1,434 |
$114K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,242 |
1,226 |
$100K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,143 |
3,051 |
$90K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
767 |
765 |
$64K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
784 |
772 |
$56K |
| 99215 |
Prolong outpt/office vis |
707 |
649 |
$47K |
| 95117 |
|
5,682 |
1,768 |
$45K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
875 |
847 |
$30K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,038 |
997 |
$19K |
| 81002 |
|
7,101 |
6,808 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
754 |
735 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,427 |
1,374 |
$16K |
| 90686 |
|
2,152 |
1,958 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
146 |
144 |
$14K |
| 0011A |
|
347 |
334 |
$10K |
| 81025 |
|
1,494 |
1,450 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
455 |
440 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
311 |
295 |
$8K |
| 20610 |
|
219 |
185 |
$7K |
| 0012A |
|
188 |
185 |
$7K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,447 |
3,276 |
$5K |
| 93000 |
|
448 |
426 |
$5K |
| 0064A |
|
138 |
135 |
$5K |
| 90756 |
|
215 |
196 |
$3K |
| 90715 |
|
221 |
206 |
$3K |
| 95115 |
|
527 |
178 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
44 |
44 |
$2K |
| 99385 |
|
13 |
13 |
$1K |
| 90620 |
|
47 |
42 |
$1K |
| 93922 |
|
28 |
27 |
$899.05 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$833.16 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
147 |
121 |
$451.54 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
28 |
24 |
$370.13 |
| 90734 |
|
74 |
67 |
$306.88 |
| 3078F |
|
923 |
831 |
$210.65 |
| 0134A |
|
13 |
12 |
$200.26 |
| 86580 |
|
24 |
24 |
$192.85 |
| 90651 |
|
162 |
157 |
$136.25 |
| 90662 |
|
13 |
13 |
$96.00 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
15 |
12 |
$93.55 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
17 |
16 |
$82.00 |
| 81000 |
|
34 |
32 |
$81.33 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
70 |
63 |
$80.09 |
| 99173 |
|
26 |
26 |
$57.43 |
| 3077F |
|
2,785 |
2,444 |
$18.08 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
28 |
26 |
$6.76 |
| 1160F |
|
66 |
62 |
$0.00 |
| 1159F |
|
43 |
39 |
$0.00 |
| 3725F |
|
13 |
13 |
$0.00 |
| 3016F |
|
28 |
25 |
$0.00 |
| 3288F |
|
13 |
13 |
$0.00 |
| A4550 |
Surgical trays |
17 |
13 |
$0.00 |
| 3080F |
|
1,406 |
1,237 |
$0.00 |
| 1170F |
|
13 |
13 |
$0.00 |
| 3079F |
|
1,484 |
1,319 |
$0.00 |
| 3074F |
|
615 |
547 |
$0.00 |
| 91301 |
|
225 |
192 |
$0.00 |
| 3075F |
|
215 |
200 |
$0.00 |
| 2010F |
|
65 |
58 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 1111F |
|
45 |
39 |
$0.00 |
| 1125F |
|
40 |
36 |
$0.00 |
| 1036F |
|
13 |
13 |
$0.00 |