| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,123 |
4,371 |
$157K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
281 |
274 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,117 |
1,061 |
$58K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
424 |
408 |
$33K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
128 |
42 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
219 |
214 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
263 |
260 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
151 |
144 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
58 |
57 |
$5K |
| 95117 |
|
441 |
163 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
583 |
565 |
$3K |
| 95115 |
|
392 |
147 |
$2K |
| 99383 |
|
14 |
12 |
$987.29 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
16 |
13 |
$702.66 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
62 |
58 |
$683.77 |
| 90461 |
|
455 |
410 |
$24.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
887 |
759 |
$0.00 |
| 97802 |
|
143 |
138 |
$0.00 |
| 90670 |
|
29 |
24 |
$0.00 |
| 91300 |
|
15 |
12 |
$0.00 |