| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
578 |
576 |
$151K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,725 |
1,407 |
$70K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
212 |
197 |
$67K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
855 |
746 |
$27K |
| 93970 |
|
141 |
126 |
$14K |
| 93923 |
|
268 |
216 |
$11K |
| 99000 |
|
1,168 |
1,081 |
$10K |
| 93880 |
|
72 |
72 |
$10K |
| 93925 |
|
66 |
57 |
$8K |
| 95816 |
|
31 |
31 |
$7K |
| 99385 |
|
96 |
94 |
$7K |
| 95957 |
|
32 |
31 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
49 |
49 |
$4K |
| 95923 |
|
48 |
38 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
37 |
36 |
$2K |
| 86328 |
|
23 |
20 |
$2K |
| 92653 |
|
31 |
31 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
27 |
27 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
17 |
17 |
$2K |
| 93930 |
|
13 |
13 |
$2K |
| 96132 |
|
32 |
31 |
$2K |
| 95924 |
|
22 |
12 |
$1K |
| 95117 |
|
252 |
133 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
30 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
52 |
45 |
$961.82 |
| 95943 |
|
20 |
20 |
$943.98 |
| 95930 |
|
31 |
31 |
$849.40 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
62 |
45 |
$823.18 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
244 |
236 |
$801.60 |
| 92650 |
|
31 |
31 |
$560.76 |
| 81002 |
|
279 |
268 |
$379.87 |
| 90756 |
|
15 |
12 |
$251.10 |
| 93040 |
|
31 |
31 |
$243.10 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$142.07 |
| 93000 |
|
22 |
13 |
$103.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$98.49 |
| 36415 |
Collection of venous blood by venipuncture |
1,107 |
1,017 |
$88.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
12 |
$78.40 |
| 93922 |
|
20 |
20 |
$67.18 |
| 96138 |
|
32 |
31 |
$0.00 |
| 96139 |
|
32 |
31 |
$0.00 |