| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
16,274 |
2,655 |
$3.48M |
| 95144 |
|
26,783 |
4,046 |
$3.25M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,145 |
9,227 |
$671K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,788 |
11,918 |
$616K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
2,033 |
2,002 |
$429K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,966 |
2,763 |
$211K |
| 87428 |
|
4,108 |
3,225 |
$183K |
| 95923 |
|
903 |
872 |
$85K |
| 95943 |
|
609 |
587 |
$72K |
| 93923 |
|
701 |
674 |
$63K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
463 |
410 |
$26K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
595 |
273 |
$24K |
| L0637 |
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
21 |
19 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,115 |
991 |
$19K |
| 95921 |
|
289 |
280 |
$18K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
594 |
273 |
$14K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
596 |
273 |
$13K |
| 94760 |
|
16,490 |
12,266 |
$12K |
| 95886 |
|
72 |
24 |
$10K |
| 96138 |
|
469 |
388 |
$8K |
| 99215 |
Prolong outpt/office vis |
69 |
67 |
$7K |
| 99000 |
|
2,311 |
1,852 |
$7K |
| 93922 |
|
98 |
96 |
$6K |
| 95913 |
|
33 |
24 |
$6K |
| 93000 |
|
504 |
479 |
$6K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
29 |
27 |
$4K |
| 99457 |
|
69 |
69 |
$3K |
| 97161 |
|
42 |
40 |
$2K |
| 82962 |
|
1,064 |
861 |
$2K |
| 99490 |
Ccm add 20min |
570 |
540 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$1K |
| 90658 |
|
133 |
133 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
13 |
$920.95 |
| G0008 |
Administration of influenza virus vaccine |
145 |
142 |
$777.36 |
| 99454 |
|
20 |
18 |
$631.62 |
| 87486 |
|
26 |
24 |
$598.48 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
42 |
39 |
$537.34 |
| 0012A |
|
14 |
13 |
$486.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
32 |
23 |
$479.30 |
| 87500 |
|
21 |
18 |
$444.48 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
25 |
$419.25 |
| 99439 |
|
139 |
134 |
$354.58 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
295 |
266 |
$235.83 |
| 80306 |
|
120 |
92 |
$217.67 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
12 |
$216.64 |
| 99453 |
|
16 |
16 |
$141.30 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
97 |
86 |
$89.81 |
| 96127 |
|
68 |
60 |
$76.59 |
| 36415 |
Collection of venous blood by venipuncture |
34 |
32 |
$65.89 |
| A6451 |
Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard |
38 |
37 |
$54.20 |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
21 |
20 |
$37.35 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
64 |
61 |
$24.78 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
104 |
99 |
$7.58 |
| 98960 |
|
2,456 |
2,058 |
$0.00 |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
14 |
14 |
$0.00 |
| U0005 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
14 |
14 |
$0.00 |
| 97010 |
|
60 |
30 |
$0.00 |