| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
4,470 |
586 |
$1.40M |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
5,327 |
650 |
$270K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
894 |
447 |
$234K |
| 97032 |
|
5,326 |
650 |
$156K |
| 99349 |
|
762 |
660 |
$26K |
| 97016 |
|
1,724 |
249 |
$21K |
| 99348 |
|
179 |
172 |
$9K |
| 99342 |
|
134 |
133 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
49 |
48 |
$5K |
| 99439 |
|
1,372 |
675 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
331 |
54 |
$4K |
| 99091 |
|
468 |
447 |
$3K |
| 99454 |
|
444 |
427 |
$3K |
| 99490 |
Ccm add 20min |
773 |
731 |
$3K |
| 99457 |
|
488 |
456 |
$3K |
| 99458 |
|
919 |
443 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
586 |
90 |
$1K |
| G2058 |
Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). |
45 |
43 |
$298.08 |
| 99344 |
|
16 |
14 |
$292.18 |
| 99497 |
|
28 |
25 |
$241.55 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
16 |
16 |
$130.44 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
16 |
15 |
$0.00 |