| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
3,039 |
527 |
$828K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
708 |
633 |
$211K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,528 |
2,286 |
$95K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
426 |
422 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
381 |
377 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
637 |
608 |
$34K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
321 |
312 |
$31K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,123 |
905 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
319 |
312 |
$26K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
966 |
732 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,333 |
1,256 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
337 |
326 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
485 |
405 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
105 |
105 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
45 |
35 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
51 |
47 |
$3K |
| 95117 |
|
304 |
180 |
$3K |
| 99383 |
|
18 |
17 |
$2K |
| 99382 |
|
15 |
15 |
$1K |
| 95115 |
|
148 |
83 |
$1K |
| 99381 |
|
17 |
16 |
$1K |
| 87807 |
|
98 |
93 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
12 |
$678.48 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
74 |
71 |
$446.62 |
| 96160 |
|
189 |
187 |
$241.76 |
| 81002 |
|
29 |
29 |
$87.42 |
| 90461 |
|
91 |
81 |
$26.70 |
| 94760 |
|
18 |
15 |
$8.04 |
| 97802 |
|
965 |
953 |
$2.78 |
| 92551 |
|
326 |
323 |
$2.14 |
| 90677 |
|
324 |
323 |
$1.34 |
| 99000 |
|
105 |
102 |
$1.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
92 |
92 |
$0.28 |
| 97169 |
|
20 |
20 |
$0.00 |
| 90698 |
|
43 |
42 |
$0.00 |
| 2000F |
|
224 |
212 |
$0.00 |
| 90686 |
|
60 |
60 |
$0.00 |
| 90680 |
|
140 |
140 |
$0.00 |
| 90651 |
|
57 |
56 |
$0.00 |
| 90723 |
|
108 |
108 |
$0.00 |
| 90647 |
|
215 |
215 |
$0.00 |
| 90696 |
|
45 |
45 |
$0.00 |
| 36416 |
|
40 |
39 |
$0.00 |
| 2010F |
|
156 |
139 |
$0.00 |
| 96127 |
|
33 |
33 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
47 |
46 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 90734 |
|
133 |
130 |
$0.00 |
| 90700 |
|
58 |
58 |
$0.00 |
| 99173 |
|
281 |
280 |
$0.00 |
| 90710 |
|
132 |
132 |
$0.00 |
| 90633 |
|
171 |
171 |
$0.00 |
| 90715 |
|
33 |
33 |
$0.00 |
| 99177 |
|
60 |
60 |
$0.00 |