| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
2,776 |
366 |
$390K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,012 |
911 |
$64K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
193 |
187 |
$49K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
512 |
499 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
193 |
189 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
412 |
403 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
171 |
168 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
163 |
154 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
176 |
162 |
$14K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
168 |
156 |
$12K |
| 95117 |
|
1,364 |
447 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
69 |
66 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
171 |
164 |
$5K |
| 94760 |
|
1,946 |
1,658 |
$3K |
| 99381 |
|
25 |
25 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
139 |
127 |
$853.96 |
| 94010 |
|
26 |
25 |
$795.08 |
| 99070 |
|
156 |
144 |
$770.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
34 |
32 |
$673.11 |
| 94664 |
|
36 |
35 |
$452.15 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
18 |
16 |
$450.71 |
| 90651 |
|
57 |
53 |
$417.72 |
| 99188 |
|
35 |
34 |
$400.98 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
17 |
$192.42 |
| 96161 |
|
62 |
45 |
$90.78 |
| 90698 |
|
147 |
141 |
$0.00 |
| 90744 |
|
42 |
40 |
$0.00 |
| 90686 |
|
158 |
150 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90734 |
|
19 |
18 |
$0.00 |
| 99173 |
|
320 |
303 |
$0.00 |
| 90685 |
|
32 |
32 |
$0.00 |
| 90670 |
|
141 |
134 |
$0.00 |
| 90621 |
|
13 |
12 |
$0.00 |
| 90681 |
|
27 |
25 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90633 |
|
17 |
16 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |