| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
18,839 |
2,222 |
$3.24M |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
10,624 |
628 |
$749K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,099 |
13,732 |
$458K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,439 |
1,383 |
$309K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,812 |
1,348 |
$103K |
| 95912 |
|
767 |
725 |
$103K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
2,204 |
1,772 |
$98K |
| 76536 |
|
1,485 |
1,400 |
$80K |
| 76881 |
|
2,379 |
1,516 |
$71K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,650 |
1,536 |
$67K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
680 |
638 |
$59K |
| 76770 |
|
970 |
932 |
$49K |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,869 |
975 |
$46K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
320 |
291 |
$30K |
| 93970 |
|
266 |
256 |
$29K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
451 |
270 |
$27K |
| T1017 |
Targeted case management, each 15 minutes |
6,092 |
216 |
$25K |
| 93000 |
|
4,116 |
3,150 |
$23K |
| 93923 |
|
262 |
248 |
$19K |
| 71045 |
Radiologic examination, chest; single view |
1,743 |
1,645 |
$18K |
| 76641 |
|
320 |
296 |
$16K |
| 99443 |
|
727 |
597 |
$13K |
| H0031 |
Mental health assessment, by non-physician |
234 |
184 |
$13K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
466 |
188 |
$11K |
| 76830 |
Ultrasound, transvaginal |
181 |
175 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
1,719 |
949 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
336 |
116 |
$7K |
| 72100 |
|
428 |
397 |
$6K |
| 94690 |
|
380 |
213 |
$5K |
| 3008F |
|
1,943 |
1,453 |
$4K |
| H0032 |
Mental health service plan development by non-physician |
115 |
81 |
$3K |
| 74019 |
|
153 |
148 |
$3K |
| 72040 |
|
189 |
178 |
$2K |
| 70210 |
|
68 |
66 |
$930.31 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
16 |
13 |
$804.40 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
757 |
135 |
$645.26 |
| 3074F |
|
1,253 |
959 |
$639.23 |
| 82962 |
|
1,171 |
629 |
$480.52 |
| 70250 |
|
13 |
13 |
$294.57 |
| 99442 |
|
47 |
33 |
$265.46 |
| 81002 |
|
347 |
269 |
$229.90 |
| 3078F |
|
1,563 |
1,175 |
$77.34 |
| 3075F |
|
198 |
162 |
$0.00 |
| 3079F |
|
18 |
12 |
$0.00 |