| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
102 |
102 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
345 |
301 |
$32K |
| 94060 |
|
382 |
348 |
$18K |
| 94729 |
|
108 |
108 |
$4K |
| 94727 |
|
105 |
105 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
100 |
81 |
$2K |
| 94200 |
|
57 |
57 |
$1K |
| 94618 |
|
41 |
41 |
$1K |
| 93040 |
|
62 |
62 |
$570.79 |
| J3300 |
Injection, triamcinolone acetonide, preservative free, 1 mg |
98 |
80 |
$330.44 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
29 |
24 |
$195.18 |
| 95117 |
|
18 |
12 |
$168.13 |
| 94664 |
|
12 |
12 |
$154.80 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
82 |
66 |
$15.58 |