| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,040 |
8,859 |
$361K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,040 |
1,923 |
$104K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
142 |
26 |
$31K |
| Q3014 |
Telehealth originating site facility fee |
1,101 |
1,031 |
$23K |
| 99050 |
|
161 |
153 |
$8K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
14 |
12 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
88 |
44 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
35 |
35 |
$502.38 |
| 97169 |
|
16 |
16 |
$351.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
46 |
27 |
$291.60 |
| 90686 |
|
26 |
26 |
$0.00 |
| 92551 |
|
17 |
16 |
$0.00 |
| 99173 |
|
17 |
16 |
$0.00 |