| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
5,262 |
5,135 |
$728K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
2,786 |
2,464 |
$386K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,944 |
6,378 |
$273K |
| 95117 |
|
19,648 |
9,979 |
$249K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,013 |
1,961 |
$127K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
716 |
674 |
$72K |
| 94010 |
|
2,069 |
2,013 |
$48K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
528 |
437 |
$33K |
| A4617 |
Mouth piece |
5,819 |
3,403 |
$4K |
| 94664 |
|
651 |
554 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
27 |
27 |
$457.67 |
| G9810 |
Patient achieved a pdc of at least 75% for their asthma controller medication |
141 |
139 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
283 |
267 |
$0.00 |
| G9521 |
Total number of emergency department visits and inpatient hospitalizations less than two in the past 12 months |
143 |
141 |
$0.00 |
| 1036F |
|
241 |
225 |
$0.00 |
| G9432 |
Asthma well-controlled based on the act, c-act, acq, or ataq score and results documented |
142 |
140 |
$0.00 |