| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 31298 |
|
315 |
314 |
$804K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
2,432 |
2,421 |
$519K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,942 |
6,502 |
$448K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,881 |
3,872 |
$347K |
| 31231 |
|
3,177 |
3,162 |
$341K |
| 95024 |
|
1,608 |
1,605 |
$195K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,124 |
2,995 |
$150K |
| 31295 |
|
200 |
197 |
$141K |
| 95117 |
|
18,804 |
7,743 |
$120K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,456 |
1,455 |
$91K |
| 69210 |
|
2,005 |
1,961 |
$48K |
| 31575 |
|
719 |
707 |
$48K |
| 31237 |
|
241 |
205 |
$46K |
| 92557 |
|
1,737 |
1,733 |
$37K |
| 30140 |
|
226 |
226 |
$25K |
| 92550 |
|
1,736 |
1,726 |
$22K |
| 30901 |
|
292 |
289 |
$14K |
| 92585 |
|
139 |
138 |
$10K |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
5,790 |
2,579 |
$9K |
| 92625 |
|
174 |
174 |
$7K |
| 92588 |
|
342 |
342 |
$6K |
| V5160 |
Dispensing fee, binaural |
16 |
16 |
$4K |
| 92653 |
|
68 |
68 |
$3K |
| 30520 |
|
14 |
14 |
$689.65 |
| 30125 |
|
14 |
14 |
$475.80 |
| V5266 |
Battery for use in hearing device |
13 |
13 |
$443.52 |
| 61782 |
|
12 |
12 |
$413.10 |
| V5020 |
Conformity evaluation |
13 |
13 |
$382.50 |
| 64400 |
|
41 |
40 |
$276.55 |
| 64402 |
|
14 |
13 |
$39.82 |
| 92584 |
|
13 |
13 |
$15.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
11,594 |
10,636 |
$2.25 |
| 99024 |
|
179 |
158 |
$0.76 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
4,991 |
4,554 |
$0.00 |
| 4004F |
|
1,053 |
944 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
759 |
732 |
$0.00 |
| 1036F |
|
13 |
12 |
$0.00 |