| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,496 |
2,111 |
$75K |
| 99215 |
Prolong outpt/office vis |
875 |
759 |
$35K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
207 |
187 |
$20K |
| 83037 |
|
967 |
861 |
$3K |
| 82947 |
|
1,450 |
1,189 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
69 |
66 |
$2K |
| 90756 |
|
197 |
175 |
$2K |
| 99495 |
|
87 |
76 |
$1K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
13 |
13 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
773 |
685 |
$1K |
| 99406 |
|
145 |
131 |
$751.26 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
14 |
$656.41 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
168 |
120 |
$581.03 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
55 |
51 |
$325.55 |
| Q2039 |
Influenza virus vaccine, not otherwise specified |
86 |
61 |
$300.00 |
| 81002 |
|
157 |
136 |
$210.79 |
| 90732 |
|
13 |
13 |
$200.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
16 |
14 |
$95.80 |
| 82044 |
|
15 |
13 |
$47.04 |
| 82570 |
|
15 |
13 |
$29.13 |
| 94760 |
|
64 |
50 |
$23.37 |
| G0008 |
Administration of influenza virus vaccine |
64 |
58 |
$14.06 |
| 3078F |
|
970 |
823 |
$0.00 |
| 3077F |
|
56 |
47 |
$0.00 |
| 3045F |
|
16 |
14 |
$0.00 |
| 3008F |
|
1,274 |
1,048 |
$0.00 |
| 3044F |
|
264 |
233 |
$0.00 |
| 2000F |
|
1,487 |
1,245 |
$0.00 |
| 3074F |
|
847 |
718 |
$0.00 |
| 1111F |
|
71 |
64 |
$0.00 |