| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,861 |
5,683 |
$276K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
883 |
688 |
$168K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,112 |
1,570 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
448 |
361 |
$16K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
273 |
257 |
$13K |
| 94060 |
|
122 |
110 |
$4K |
| 94729 |
|
122 |
110 |
$4K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
225 |
189 |
$4K |
| 94727 |
|
122 |
110 |
$3K |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
526 |
365 |
$3K |
| 92561 |
|
92 |
84 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
907 |
664 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
25 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
276 |
256 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
26 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
157 |
135 |
$1K |
| 99188 |
|
91 |
83 |
$996.30 |
| 94200 |
|
122 |
110 |
$906.18 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
12 |
$899.20 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
947 |
731 |
$781.16 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
79 |
63 |
$705.85 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
26 |
$417.90 |
| 81000 |
|
141 |
129 |
$267.38 |
| 71046 |
Radiologic examination, chest; 2 views |
18 |
16 |
$241.26 |
| 85018 |
|
107 |
99 |
$202.32 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
24 |
24 |
$172.37 |
| 94760 |
|
149 |
131 |
$148.55 |
| A7015 |
Aerosol mask, used with dme nebulizer |
114 |
95 |
$144.90 |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
17 |
13 |
$65.78 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
149 |
125 |
$23.01 |
| 99000 |
|
261 |
241 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
14 |
12 |
$0.00 |
| 99173 |
|
84 |
78 |
$0.00 |