| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
4,652 |
2,295 |
$223K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
542 |
335 |
$59K |
| 95024 |
|
314 |
192 |
$27K |
| 95117 |
|
4,620 |
2,282 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
482 |
438 |
$23K |
| 99215 |
Prolong outpt/office vis |
242 |
232 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
347 |
307 |
$12K |
| 99205 |
Prolong outpt/office vis |
62 |
60 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
288 |
265 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
975 |
679 |
$6K |
| 94060 |
|
481 |
354 |
$5K |
| 94760 |
|
1,350 |
1,111 |
$1K |
| 70486 |
|
16 |
12 |
$692.55 |
| 95012 |
|
334 |
292 |
$608.52 |
| A4617 |
Mouth piece |
334 |
290 |
$236.74 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
32 |
26 |
$198.30 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
13 |
$147.18 |
| 93000 |
|
12 |
12 |
$118.68 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
12 |
12 |
$59.20 |
| J7638 |
Dexamethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram |
261 |
225 |
$19.44 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
31 |
25 |
$17.19 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
36 |
33 |
$16.66 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
419 |
356 |
$3.63 |