| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
779 |
757 |
$83K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,772 |
1,495 |
$81K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,114 |
995 |
$55K |
| 95117 |
|
4,988 |
2,565 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,422 |
982 |
$31K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
21 |
12 |
$19K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
298 |
225 |
$16K |
| 95115 |
|
1,269 |
528 |
$8K |
| 99215 |
Prolong outpt/office vis |
226 |
206 |
$7K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
58 |
27 |
$5K |
| 76801 |
|
122 |
80 |
$4K |
| 99205 |
Prolong outpt/office vis |
70 |
53 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
2,433 |
1,800 |
$3K |
| H1000 |
Prenatal care, at-risk assessment |
18 |
14 |
$1K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
18 |
12 |
$850.64 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
21 |
12 |
$611.00 |
| 92567 |
|
43 |
40 |
$442.26 |
| 0500F |
|
70 |
57 |
$0.00 |
| 3074F |
|
826 |
538 |
$0.00 |
| 3079F |
|
19 |
14 |
$0.00 |
| 0502F |
|
376 |
288 |
$0.00 |
| 3078F |
|
151 |
103 |
$0.00 |