| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
16,989 |
11,836 |
$3.32M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,294 |
22,483 |
$2.56M |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
11,817 |
10,410 |
$1.84M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
10,934 |
9,857 |
$1.50M |
| 95117 |
|
104,117 |
55,366 |
$934K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,424 |
5,781 |
$427K |
| J2357 |
Injection, omalizumab, 5 mg |
213 |
158 |
$366K |
| 95115 |
|
12,571 |
7,124 |
$103K |
| 94375 |
|
3,710 |
3,289 |
$95K |
| 94726 |
|
1,314 |
1,176 |
$53K |
| 99205 |
Prolong outpt/office vis |
245 |
211 |
$48K |
| 94010 |
|
1,729 |
1,589 |
$44K |
| 94729 |
|
919 |
826 |
$39K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
528 |
505 |
$37K |
| 99215 |
Prolong outpt/office vis |
218 |
202 |
$37K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
900 |
675 |
$14K |
| 94760 |
|
5,390 |
4,641 |
$14K |
| 95012 |
|
970 |
867 |
$12K |
| 96401 |
|
166 |
141 |
$10K |
| A4617 |
Mouth piece |
4,235 |
3,786 |
$6K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,425 |
3,108 |
$6K |
| 95024 |
|
82 |
81 |
$5K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
339 |
287 |
$5K |
| 96160 |
|
1,476 |
1,352 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$777.49 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
13 |
$312.08 |
| 94060 |
|
17 |
17 |
$97.16 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
12 |
$76.17 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
45 |
43 |
$27.12 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
53 |
52 |
$5.02 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
13 |
13 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
3,369 |
3,057 |
$0.00 |