| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95144 |
|
3,117 |
457 |
$360K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,052 |
214 |
$217K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,910 |
2,643 |
$121K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,873 |
1,677 |
$101K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,829 |
2,488 |
$80K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
156 |
155 |
$31K |
| 99215 |
Prolong outpt/office vis |
473 |
440 |
$30K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
53 |
51 |
$5K |
| 99397 |
|
65 |
63 |
$5K |
| 95912 |
|
31 |
28 |
$3K |
| 95923 |
|
27 |
24 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
81 |
74 |
$379.56 |
| 99442 |
|
42 |
39 |
$344.56 |
| 96160 |
|
177 |
173 |
$328.52 |
| 93000 |
|
27 |
25 |
$274.90 |
| 96127 |
|
57 |
56 |
$258.49 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
48 |
47 |
$129.32 |
| 81002 |
|
31 |
25 |
$49.33 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$14.28 |
| 99499 |
|
203 |
143 |
$0.67 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 3008F |
|
110 |
86 |
$0.00 |
| 3074F |
|
70 |
60 |
$0.00 |
| 3079F |
|
15 |
13 |
$0.00 |
| 3078F |
|
92 |
74 |
$0.00 |