| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,101 |
813 |
$114K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,947 |
1,610 |
$60K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
342 |
293 |
$35K |
| 95115 |
|
3,635 |
1,173 |
$26K |
| 94375 |
|
1,025 |
846 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
156 |
149 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
248 |
213 |
$12K |
| 95012 |
|
1,121 |
902 |
$9K |
| 95117 |
|
717 |
298 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
91 |
76 |
$5K |
| 99457 |
|
60 |
37 |
$954.23 |
| 90686 |
|
43 |
38 |
$656.58 |
| 96160 |
|
318 |
268 |
$560.35 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
12 |
$405.59 |
| G0008 |
Administration of influenza virus vaccine |
23 |
23 |
$228.15 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
17 |
14 |
$0.09 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
35 |
29 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
16 |
13 |
$0.00 |