| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,843 |
9,215 |
$487K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
797 |
186 |
$96K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,220 |
1,212 |
$84K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,580 |
1,232 |
$76K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
238 |
238 |
$59K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,525 |
1,990 |
$32K |
| 99401 |
|
1,216 |
1,055 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
622 |
517 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,214 |
1,755 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
191 |
186 |
$13K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
162 |
161 |
$11K |
| 94060 |
|
207 |
207 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
603 |
589 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
782 |
732 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
50 |
50 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
110 |
110 |
$6K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
15 |
15 |
$5K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
44 |
37 |
$5K |
| 99383 |
|
42 |
42 |
$3K |
| 86328 |
|
174 |
132 |
$3K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
58 |
37 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
320 |
294 |
$3K |
| 90688 |
|
159 |
159 |
$2K |
| 99385 |
|
26 |
26 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
29 |
$2K |
| 99384 |
|
17 |
17 |
$2K |
| 99382 |
|
19 |
19 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$957.90 |
| 36415 |
Collection of venous blood by venipuncture |
521 |
504 |
$898.06 |
| 86580 |
|
172 |
105 |
$649.38 |
| 90686 |
|
38 |
38 |
$552.33 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
641 |
562 |
$455.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
347 |
308 |
$427.82 |
| 81000 |
|
261 |
251 |
$343.54 |
| 93000 |
|
16 |
16 |
$201.19 |
| 81025 |
|
27 |
27 |
$88.85 |
| 91300 |
|
13 |
13 |
$2.00 |
| 99072 |
|
157 |
139 |
$0.00 |