| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,961 |
2,385 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,044 |
895 |
$39K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
62 |
13 |
$9K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
16 |
15 |
$3K |
| 90694 |
|
100 |
91 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
121 |
114 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
98 |
71 |
$1K |
| 93000 |
|
84 |
75 |
$1K |
| 90688 |
|
147 |
127 |
$1K |
| 90756 |
|
43 |
41 |
$545.09 |
| 81003 |
|
628 |
567 |
$234.08 |
| 96127 |
|
28 |
27 |
$88.78 |
| G0008 |
Administration of influenza virus vaccine |
109 |
99 |
$62.50 |
| 99072 |
|
314 |
241 |
$56.25 |
| 82044 |
|
16 |
12 |
$36.78 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
44 |
44 |
$0.00 |