| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95117 |
|
10,113 |
3,246 |
$74K |
| 95144 |
|
443 |
278 |
$62K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,068 |
1,864 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
318 |
290 |
$16K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,735 |
720 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
553 |
398 |
$6K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
25 |
25 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
46 |
46 |
$4K |
| 99215 |
Prolong outpt/office vis |
17 |
16 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
55 |
55 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
34 |
24 |
$219.24 |
| 95115 |
|
160 |
50 |
$42.75 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
26 |
22 |
$0.00 |
| M1169 |
Documentation of medical reason(s) for not administering influenza vaccine (e.g., prior anaphylaxis due to the influenza vaccine) |
19 |
15 |
$0.00 |