| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
3,583 |
1,401 |
$950K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,555 |
3,642 |
$261K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
815 |
810 |
$191K |
| 99386 |
|
482 |
480 |
$48K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
365 |
364 |
$45K |
| 99385 |
|
406 |
406 |
$38K |
| 99215 |
Prolong outpt/office vis |
216 |
215 |
$23K |
| 99402 |
|
774 |
767 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
204 |
204 |
$16K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
158 |
158 |
$15K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
196 |
195 |
$5K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
194 |
193 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
55 |
55 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
114 |
110 |
$4K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
158 |
157 |
$4K |
| 81025 |
|
1,177 |
1,081 |
$4K |
| 87510 |
|
226 |
225 |
$3K |
| 87660 |
|
225 |
224 |
$3K |
| 87480 |
|
221 |
220 |
$3K |
| 88112 |
|
74 |
74 |
$3K |
| 81002 |
|
2,206 |
1,985 |
$3K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
83 |
79 |
$2K |
| 88141 |
|
156 |
155 |
$2K |
| 88142 |
|
179 |
178 |
$2K |
| 88368 |
|
62 |
62 |
$2K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
67 |
66 |
$2K |
| 86769 |
|
43 |
43 |
$2K |
| 88369 |
|
60 |
60 |
$2K |
| 83986 |
|
844 |
812 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
149 |
146 |
$866.08 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
18 |
$757.99 |
| 95115 |
|
97 |
67 |
$696.25 |
| 36415 |
Collection of venous blood by venipuncture |
1,755 |
1,654 |
$678.04 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
12 |
$613.35 |
| 87088 |
|
99 |
99 |
$582.65 |
| 87077 |
|
85 |
85 |
$490.98 |
| 88313 |
|
75 |
75 |
$425.32 |
| 87186 |
|
98 |
97 |
$410.19 |
| 81001 |
|
145 |
142 |
$253.83 |