| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
2,148 |
1,748 |
$438K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,064 |
5,204 |
$331K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
3,656 |
2,748 |
$314K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,019 |
2,501 |
$228K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
1,180 |
1,018 |
$172K |
| 95115 |
|
15,811 |
6,147 |
$99K |
| 94010 |
|
471 |
413 |
$10K |
| 95117 |
|
1,061 |
495 |
$8K |
| 99457 |
|
150 |
149 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
47 |
37 |
$5K |
| 95180 |
|
12 |
12 |
$5K |
| 99458 |
|
111 |
111 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
281 |
236 |
$3K |
| 99454 |
|
13 |
13 |
$687.38 |
| 92567 |
|
18 |
15 |
$206.39 |
| 99453 |
|
13 |
13 |
$204.18 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
249 |
210 |
$185.29 |
| 1036F |
|
30 |
27 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
60 |
55 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
14 |
13 |
$0.00 |