| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,783 |
455 |
$523K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,994 |
5,974 |
$435K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,773 |
4,227 |
$232K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
477 |
432 |
$111K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,241 |
667 |
$16K |
| 99215 |
Prolong outpt/office vis |
201 |
155 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
24 |
$3K |
| 81002 |
|
1,134 |
1,003 |
$3K |
| 99199 |
Unlisted special service, procedure or report |
430 |
426 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
44 |
38 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,375 |
1,267 |
$3K |
| 99406 |
|
212 |
183 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
109 |
88 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
31 |
26 |
$1K |
| 99354 |
|
24 |
23 |
$984.36 |
| 96160 |
|
85 |
80 |
$464.67 |
| 82962 |
|
124 |
118 |
$291.40 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
852 |
459 |
$167.80 |
| 99483 |
Prolong outpt/office vis |
18 |
17 |
$92.22 |
| 3074F |
|
13 |
13 |
$0.00 |
| 3078F |
|
12 |
12 |
$0.00 |