| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,434 |
3,063 |
$289K |
| 99402 |
|
1,309 |
1,229 |
$50K |
| 99443 |
|
374 |
329 |
$29K |
| 80305 |
|
1,491 |
1,392 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
271 |
245 |
$16K |
| 99406 |
|
1,453 |
1,364 |
$13K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
27 |
14 |
$9K |
| 99401 |
|
301 |
286 |
$4K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
14 |
13 |
$3K |
| 99000 |
|
2,125 |
1,959 |
$2K |
| 99442 |
|
39 |
34 |
$2K |
| A4927 |
Gloves, non-sterile, per 100 |
1,807 |
1,658 |
$1K |
| 93000 |
|
69 |
69 |
$980.83 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
45 |
43 |
$966.76 |
| 3074F |
|
1,501 |
1,257 |
$713.53 |
| 3078F |
|
1,276 |
1,075 |
$547.50 |
| 36415 |
Collection of venous blood by venipuncture |
390 |
378 |
$153.84 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
21 |
16 |
$128.55 |
| 96127 |
|
56 |
52 |
$96.41 |
| 94760 |
|
137 |
130 |
$94.62 |
| 3079F |
|
147 |
135 |
$65.50 |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
82 |
82 |
$6.19 |
| 2001F |
|
2,337 |
1,877 |
$0.08 |
| 0001F |
|
2,402 |
1,927 |
$0.08 |
| 3008F |
|
784 |
638 |
$0.02 |
| 1157F |
|
16 |
14 |
$0.00 |
| 1034F |
|
14 |
13 |
$0.00 |
| 1000F |
|
16 |
14 |
$0.00 |
| 1159F |
|
582 |
482 |
$0.00 |
| A6413 |
Adhesive bandage, first-aid type, any size, each |
275 |
265 |
$0.00 |
| 3725F |
|
572 |
471 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
82 |
82 |
$0.00 |
| 4004F |
|
14 |
13 |
$0.00 |