| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,957 |
3,343 |
$379K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
218 |
206 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
294 |
267 |
$21K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
66 |
14 |
$13K |
| 91322 |
|
55 |
50 |
$7K |
| 99385 |
|
58 |
51 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
409 |
375 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
1,179 |
1,132 |
$6K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
13 |
13 |
$4K |
| 81002 |
|
1,858 |
1,730 |
$4K |
| 90686 |
|
266 |
246 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
76 |
66 |
$3K |
| 90480 |
|
55 |
50 |
$2K |
| 0012A |
|
40 |
40 |
$2K |
| 0134A |
|
31 |
29 |
$1K |
| 0011A |
|
45 |
42 |
$1K |
| 90756 |
|
47 |
44 |
$890.90 |
| 90656 |
|
46 |
41 |
$650.99 |
| 91301 |
|
86 |
82 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
22 |
12 |
$0.00 |
| 91313 |
|
27 |
25 |
$0.00 |