| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,347 |
3,933 |
$403K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,617 |
1,374 |
$51K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
888 |
731 |
$39K |
| 93000 |
|
646 |
637 |
$9K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
29 |
12 |
$6K |
| 92587 |
|
273 |
272 |
$6K |
| 20552 |
|
113 |
41 |
$5K |
| 90674 |
|
232 |
221 |
$4K |
| W7010 |
|
218 |
215 |
$3K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
16 |
16 |
$3K |
| 0012A |
|
21 |
20 |
$760.00 |
| 99454 |
|
66 |
65 |
$694.84 |
| 0011A |
|
18 |
17 |
$680.00 |
| 94060 |
|
12 |
12 |
$583.93 |
| 99457 |
|
54 |
54 |
$572.28 |
| 95923 |
|
34 |
31 |
$561.15 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
13 |
13 |
$414.78 |
| 76942 |
|
155 |
67 |
$413.98 |
| G0008 |
Administration of influenza virus vaccine |
259 |
249 |
$356.41 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
60 |
55 |
$10.00 |
| 91301 |
|
44 |
40 |
$0.03 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
96 |
96 |
$0.00 |
| 1111F |
|
112 |
110 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
157 |
65 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
15 |
14 |
$0.00 |