| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
2,904 |
1,177 |
$421K |
| 95117 |
|
28,211 |
12,970 |
$206K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,182 |
2,925 |
$179K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
393 |
346 |
$50K |
| 94375 |
|
1,100 |
1,030 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
310 |
288 |
$23K |
| 95012 |
|
412 |
395 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
100 |
97 |
$4K |
| 95115 |
|
582 |
339 |
$4K |
| 99215 |
Prolong outpt/office vis |
29 |
27 |
$2K |
| 95024 |
|
40 |
38 |
$799.97 |
| 94010 |
|
56 |
44 |
$746.25 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
38 |
36 |
$682.41 |
| 90686 |
|
55 |
50 |
$681.65 |
| 96160 |
|
80 |
73 |
$127.96 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
27 |
26 |
$3.18 |