| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,296 |
10,741 |
$1.02M |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
2,092 |
1,894 |
$874K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
5,766 |
5,708 |
$752K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,845 |
3,845 |
$431K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,412 |
3,228 |
$403K |
| 95076 |
|
2,312 |
1,409 |
$277K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,107 |
1,107 |
$183K |
| 95117 |
|
12,888 |
6,996 |
$157K |
| 94060 |
|
1,538 |
1,495 |
$78K |
| J2357 |
Injection, omalizumab, 5 mg |
111 |
92 |
$34K |
| 95180 |
|
221 |
104 |
$32K |
| 95024 |
|
296 |
294 |
$25K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
760 |
734 |
$24K |
| 95079 |
|
187 |
180 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
358 |
318 |
$16K |
| 94016 |
|
670 |
641 |
$15K |
| 95012 |
|
576 |
564 |
$12K |
| 36406 |
|
241 |
238 |
$4K |
| 90686 |
|
237 |
237 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
195 |
98 |
$3K |
| 0012A |
|
46 |
46 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
258 |
255 |
$2K |
| 0011A |
|
50 |
50 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
16 |
$386.58 |
| 94150 |
|
4,007 |
2,209 |
$215.50 |
| 36415 |
Collection of venous blood by venipuncture |
461 |
457 |
$193.21 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$121.55 |
| 36410 |
|
14 |
14 |
$120.86 |
| 94375 |
|
1,552 |
1,502 |
$39.03 |
| 99000 |
|
218 |
216 |
$25.00 |
| 94760 |
|
1,508 |
1,461 |
$7.75 |
| A4617 |
Mouth piece |
269 |
265 |
$1.52 |
| 91301 |
|
86 |
77 |
$0.00 |
| 98960 |
|
51 |
51 |
$0.00 |
| 99001 |
|
832 |
821 |
$0.00 |