| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,255 |
3,930 |
$283K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
4,319 |
3,976 |
$174K |
| L8679 |
Implantable neurostimulator, pulse generator, any type |
15 |
14 |
$24K |
| 94681 |
|
726 |
711 |
$20K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
111 |
74 |
$19K |
| 94726 |
|
722 |
710 |
$19K |
| 94375 |
|
723 |
711 |
$15K |
| 95923 |
|
156 |
152 |
$11K |
| 94200 |
|
724 |
711 |
$10K |
| 95921 |
|
169 |
165 |
$8K |
| 93922 |
|
113 |
109 |
$5K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
82 |
21 |
$5K |
| 93923 |
|
45 |
45 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
36 |
35 |
$491.40 |
| 36415 |
Collection of venous blood by venipuncture |
217 |
212 |
$332.10 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$299.65 |
| 99407 |
|
17 |
16 |
$285.48 |
| 95117 |
|
21 |
12 |
$102.84 |
| 93040 |
|
45 |
45 |
$74.96 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$50.70 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
26 |
26 |
$9.77 |
| 96103 |
|
142 |
135 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
151 |
146 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
143 |
136 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
92 |
87 |
$0.00 |
| 94761 |
|
45 |
45 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
143 |
136 |
$0.00 |