| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,685 |
2,144 |
$144K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,565 |
1,083 |
$104K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
308 |
262 |
$36K |
| 99199 |
Unlisted special service, procedure or report |
10,195 |
9,866 |
$32K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
119 |
25 |
$30K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
108 |
91 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
347 |
323 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
65 |
54 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
60 |
57 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
69 |
57 |
$5K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
58 |
51 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
506 |
443 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
39 |
33 |
$1K |
| 99443 |
|
13 |
13 |
$922.12 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
18 |
18 |
$470.35 |
| 99173 |
|
160 |
137 |
$461.67 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
25 |
24 |
$396.72 |
| 81003 |
|
170 |
135 |
$262.48 |
| 92551 |
|
164 |
141 |
$258.32 |
| 90734 |
|
15 |
15 |
$0.00 |
| 90658 |
|
31 |
31 |
$0.00 |
| 90686 |
|
137 |
130 |
$0.00 |