| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J2357 |
Injection, omalizumab, 5 mg |
276 |
164 |
$547K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,526 |
1,332 |
$85K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
376 |
349 |
$38K |
| 95117 |
|
3,971 |
2,054 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
298 |
273 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
495 |
426 |
$17K |
| 94010 |
|
470 |
422 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
161 |
144 |
$7K |
| 96401 |
|
82 |
61 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
373 |
258 |
$3K |
| 95012 |
|
73 |
69 |
$709.33 |
| 90686 |
|
29 |
28 |
$412.88 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
24 |
$362.45 |
| 95115 |
|
24 |
13 |
$177.79 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
25 |
12 |
$122.97 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
16 |
15 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
67 |
63 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
27 |
26 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
83 |
73 |
$0.00 |
| 1036F |
|
48 |
45 |
$0.00 |