| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
9,456 |
687 |
$1.00M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,449 |
8,403 |
$721K |
| 99354 |
|
2,804 |
2,171 |
$249K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,778 |
1,439 |
$89K |
| 99401 |
|
2,200 |
1,562 |
$44K |
| 93975 |
|
118 |
105 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
250 |
245 |
$22K |
| 94060 |
|
494 |
454 |
$19K |
| 92100 |
|
342 |
325 |
$18K |
| 69210 |
|
820 |
318 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
435 |
248 |
$15K |
| 93922 |
|
241 |
229 |
$14K |
| 93000 |
|
1,154 |
1,110 |
$13K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
69 |
61 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
575 |
503 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
339 |
329 |
$9K |
| 99215 |
Prolong outpt/office vis |
132 |
119 |
$8K |
| 95117 |
|
842 |
448 |
$6K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
546 |
502 |
$6K |
| 83014 |
|
738 |
712 |
$5K |
| 76775 |
|
168 |
161 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
2,079 |
1,945 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
284 |
270 |
$3K |
| 94664 |
|
289 |
271 |
$3K |
| 93880 |
|
26 |
26 |
$3K |
| 96160 |
|
997 |
967 |
$3K |
| 81002 |
|
1,227 |
1,137 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
224 |
213 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
27 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
29 |
28 |
$2K |
| 81025 |
|
212 |
194 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
72 |
67 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 94760 |
|
572 |
502 |
$998.82 |
| 95992 |
|
30 |
29 |
$651.10 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$623.53 |
| 90686 |
|
57 |
50 |
$506.80 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
31 |
30 |
$493.38 |
| 92081 |
|
30 |
29 |
$485.01 |
| 90658 |
|
169 |
159 |
$468.01 |
| 76770 |
|
16 |
12 |
$454.09 |
| 99173 |
|
198 |
192 |
$367.80 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
148 |
127 |
$312.45 |
| 86580 |
|
46 |
43 |
$240.50 |
| 80305 |
|
167 |
127 |
$225.56 |
| 99000 |
|
78 |
64 |
$102.60 |
| 82962 |
|
42 |
36 |
$44.76 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
396 |
363 |
$41.73 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
45 |
42 |
$20.91 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
13 |
13 |
$0.61 |
| 99051 |
|
86 |
66 |
$0.00 |
| 90633 |
|
15 |
15 |
$0.00 |