| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95144 |
|
1,769 |
198 |
$249K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
940 |
176 |
$229K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,043 |
2,582 |
$219K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,728 |
2,407 |
$134K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
172 |
162 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
513 |
466 |
$38K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
528 |
480 |
$35K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,697 |
1,333 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
985 |
898 |
$19K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
473 |
466 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
126 |
119 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
661 |
575 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
229 |
214 |
$7K |
| 99215 |
Prolong outpt/office vis |
35 |
32 |
$3K |
| 94760 |
|
2,605 |
1,992 |
$3K |
| 81002 |
|
953 |
832 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
288 |
246 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$2K |
| 99385 |
|
14 |
14 |
$1K |
| 93000 |
|
88 |
87 |
$1K |
| 90461 |
|
50 |
46 |
$721.88 |
| 97139 |
|
62 |
60 |
$695.80 |
| 99000 |
|
565 |
487 |
$660.16 |
| 81025 |
|
46 |
42 |
$335.61 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
18 |
16 |
$266.15 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
17 |
$249.74 |
| 83013 |
|
32 |
30 |
$196.52 |
| 36415 |
Collection of venous blood by venipuncture |
140 |
130 |
$161.21 |
| 90686 |
|
398 |
326 |
$89.88 |
| 99173 |
|
15 |
14 |
$27.90 |
| 90698 |
|
208 |
184 |
$0.00 |
| 90688 |
|
104 |
103 |
$0.00 |
| 90680 |
|
55 |
51 |
$0.00 |
| 90685 |
|
28 |
25 |
$0.00 |
| 90670 |
|
366 |
328 |
$0.00 |
| 90633 |
|
30 |
24 |
$0.00 |