| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
3,771 |
507 |
$465K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,886 |
3,925 |
$319K |
| 99199 |
Unlisted special service, procedure or report |
41,915 |
27,523 |
$242K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
897 |
563 |
$156K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,176 |
2,322 |
$134K |
| 95117 |
|
1,160 |
427 |
$7K |
| 95024 |
|
120 |
51 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
4,160 |
3,088 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
64 |
53 |
$6K |
| 99458 |
|
142 |
123 |
$6K |
| 70210 |
|
458 |
290 |
$5K |
| 99457 |
|
142 |
123 |
$5K |
| 95923 |
|
86 |
69 |
$4K |
| 81003 |
|
1,541 |
1,159 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
237 |
188 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
117 |
79 |
$2K |
| 88738 |
|
423 |
332 |
$2K |
| 82962 |
|
832 |
592 |
$1K |
| 80305 |
|
115 |
105 |
$1K |
| 80061 |
Lipid panel |
77 |
56 |
$730.56 |
| 90674 |
|
55 |
34 |
$612.83 |
| 94010 |
|
30 |
26 |
$588.34 |
| 93922 |
|
28 |
12 |
$565.06 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
54 |
39 |
$504.90 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
52 |
44 |
$480.42 |
| 95921 |
|
20 |
13 |
$346.44 |
| 72100 |
|
13 |
12 |
$326.81 |
| 93000 |
|
29 |
25 |
$319.76 |
| 74018 |
|
15 |
13 |
$289.77 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
20 |
$226.10 |
| 99406 |
|
15 |
12 |
$170.04 |
| 96160 |
|
44 |
30 |
$153.27 |
| 87905 |
|
21 |
12 |
$137.92 |
| 87808 |
|
22 |
12 |
$133.56 |
| 96127 |
|
39 |
29 |
$112.81 |
| 81025 |
|
13 |
12 |
$85.80 |
| 99490 |
Ccm add 20min |
436 |
418 |
$74.50 |
| 96103 |
|
45 |
24 |
$35.98 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
12 |
$17.46 |
| 3079F |
|
78 |
64 |
$0.00 |
| 3080F |
|
173 |
132 |
$0.00 |
| 3008F |
|
495 |
342 |
$0.00 |
| 99425 |
|
13 |
13 |
$0.00 |
| 99424 |
|
13 |
13 |
$0.00 |
| 99439 |
|
22 |
20 |
$0.00 |
| 3077F |
|
205 |
170 |
$0.00 |
| 3078F |
|
103 |
62 |
$0.00 |
| 99173 |
|
38 |
34 |
$0.00 |