| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
8,057 |
4,698 |
$845K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,882 |
7,037 |
$784K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
2,367 |
1,976 |
$454K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,261 |
2,646 |
$429K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,155 |
4,427 |
$341K |
| 95117 |
|
32,554 |
16,739 |
$254K |
| 94375 |
|
5,898 |
4,775 |
$132K |
| 95115 |
|
11,254 |
5,655 |
$75K |
| 94060 |
|
981 |
730 |
$30K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
320 |
224 |
$22K |
| 95012 |
|
1,079 |
832 |
$12K |
| 94010 |
|
307 |
277 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
319 |
223 |
$5K |
| 99215 |
Prolong outpt/office vis |
18 |
14 |
$3K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
18 |
15 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
27 |
$1K |
| 96401 |
|
19 |
12 |
$1K |
| 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) |
54 |
44 |
$679.03 |