| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
2,250 |
2,231 |
$371K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,717 |
3,584 |
$58K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,761 |
5,215 |
$50K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
336 |
334 |
$18K |
| 92552 |
|
1,504 |
1,499 |
$17K |
| 94060 |
|
340 |
335 |
$15K |
| 87430 |
|
872 |
862 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
163 |
163 |
$7K |
| 92081 |
|
1,095 |
1,094 |
$4K |
| 92550 |
|
221 |
218 |
$4K |
| 85013 |
|
1,139 |
1,135 |
$3K |
| 81000 |
|
829 |
828 |
$2K |
| G9920 |
Screening performed and negative |
488 |
477 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 90658 |
|
176 |
173 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
83 |
59 |
$699.82 |
| 90715 |
|
28 |
28 |
$595.25 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$523.44 |
| 85014 |
|
257 |
257 |
$517.69 |
| 90649 |
|
40 |
40 |
$429.81 |
| 90686 |
|
35 |
35 |
$397.76 |
| 90651 |
|
25 |
25 |
$331.97 |
| 85018 |
|
116 |
114 |
$277.68 |
| 81002 |
|
104 |
104 |
$237.31 |
| 99173 |
|
112 |
110 |
$173.05 |
| 69210 |
|
30 |
29 |
$137.05 |
| 81001 |
|
387 |
382 |
$126.84 |
| 90700 |
|
16 |
16 |
$122.85 |
| 90734 |
|
15 |
15 |
$113.40 |