| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
526 |
524 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,639 |
1,348 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
431 |
430 |
$10K |
| 31231 |
|
307 |
307 |
$4K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
67 |
25 |
$2K |
| 95117 |
|
185 |
75 |
$408.17 |
| 94060 |
|
18 |
16 |
$175.60 |
| 95012 |
|
16 |
15 |
$43.95 |
| 1036F |
|
89 |
88 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
77 |
76 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
76 |
75 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
385 |
313 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
26 |
25 |
$0.00 |
| 4040F |
|
75 |
75 |
$0.00 |
| 99442 |
|
96 |
88 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
25 |
24 |
$0.00 |