| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
2,053 |
1,987 |
$435K |
| 95117 |
|
9,224 |
5,780 |
$80K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
573 |
539 |
$37K |
| 99205 |
Prolong outpt/office vis |
207 |
197 |
$25K |
| 95024 |
|
168 |
156 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
107 |
107 |
$3K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
13 |
13 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
13 |
13 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
16 |
$791.88 |
| 3008F |
|
92 |
91 |
$615.63 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
41 |
41 |
$508.53 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
25 |
$326.02 |
| 90688 |
|
26 |
24 |
$206.53 |
| 96103 |
|
13 |
13 |
$148.10 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
48 |
48 |
$116.49 |
| 95018 |
|
15 |
13 |
$107.95 |