| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
1,295 |
1,243 |
$446K |
| 95811 |
|
939 |
876 |
$286K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
586 |
571 |
$127K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,265 |
1,170 |
$57K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
201 |
173 |
$51K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
622 |
560 |
$50K |
| 95117 |
|
3,490 |
1,871 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
469 |
435 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
174 |
161 |
$10K |
| E0601 |
Continuous positive airway pressure (cpap) device |
148 |
147 |
$6K |
| 95024 |
|
19 |
12 |
$2K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
63 |
63 |
$2K |
| 95115 |
|
55 |
25 |
$507.05 |