| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,816 |
11,693 |
$1.12M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,056 |
13,559 |
$888K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
2,171 |
619 |
$487K |
| 94010 |
|
14,098 |
10,868 |
$388K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16,000 |
13,623 |
$231K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
596 |
585 |
$89K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
599 |
598 |
$68K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
331 |
329 |
$34K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,694 |
1,644 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
610 |
560 |
$22K |
| 95117 |
|
1,862 |
580 |
$22K |
| 90686 |
|
1,297 |
1,256 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
208 |
207 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
139 |
134 |
$19K |
| 90715 |
|
366 |
363 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,103 |
1,063 |
$15K |
| 99173 |
|
1,491 |
1,485 |
$15K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,289 |
1,283 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,008 |
977 |
$14K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
15,729 |
13,584 |
$9K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
178 |
176 |
$6K |
| 90746 |
|
81 |
81 |
$5K |
| 99000 |
|
1,995 |
1,894 |
$5K |
| 99385 |
|
14 |
13 |
$2K |
| 81002 |
|
436 |
419 |
$1K |
| 81025 |
|
126 |
117 |
$944.39 |
| G0008 |
Administration of influenza virus vaccine |
55 |
54 |
$0.00 |