| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,102 |
1,779 |
$141K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
490 |
474 |
$73K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
421 |
349 |
$42K |
| 95117 |
|
868 |
448 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$4K |
| 99443 |
|
32 |
28 |
$3K |
| 81002 |
|
1,468 |
1,117 |
$2K |
| 81025 |
|
1,394 |
1,059 |
$2K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
54 |
52 |
$2K |
| 99442 |
|
16 |
15 |
$755.17 |
| 90756 |
|
26 |
26 |
$733.34 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
64 |
60 |
$536.23 |
| 90674 |
|
13 |
13 |
$329.03 |
| 99051 |
|
64 |
58 |
$308.70 |
| 94010 |
|
12 |
12 |
$285.55 |
| 36415 |
Collection of venous blood by venipuncture |
848 |
795 |
$152.94 |