| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,745 |
1,701 |
$418K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,412 |
7,841 |
$331K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
716 |
657 |
$201K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,772 |
5,740 |
$172K |
| 99000 |
|
5,332 |
4,898 |
$42K |
| 93970 |
|
659 |
536 |
$40K |
| 95816 |
|
185 |
156 |
$27K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
332 |
327 |
$23K |
| 99385 |
|
224 |
217 |
$15K |
| 93923 |
|
907 |
736 |
$14K |
| 93880 |
|
285 |
250 |
$14K |
| 93925 |
|
404 |
317 |
$11K |
| 95923 |
|
166 |
138 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
127 |
127 |
$6K |
| 95117 |
|
708 |
335 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
282 |
220 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
93 |
91 |
$4K |
| 95957 |
|
186 |
156 |
$4K |
| 86328 |
|
72 |
66 |
$3K |
| 95930 |
|
186 |
156 |
$3K |
| 99215 |
Prolong outpt/office vis |
43 |
41 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
29 |
28 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
207 |
152 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
46 |
42 |
$2K |
| 81002 |
|
1,841 |
1,722 |
$2K |
| 99386 |
|
26 |
26 |
$2K |
| 93978 |
|
68 |
66 |
$2K |
| 76706 |
|
27 |
27 |
$2K |
| 93930 |
|
66 |
64 |
$2K |
| 96132 |
|
186 |
156 |
$2K |
| 99384 |
|
32 |
29 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
202 |
130 |
$2K |
| 90756 |
|
91 |
83 |
$2K |
| 94761 |
|
1,183 |
798 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
58 |
28 |
$2K |
| 92653 |
|
118 |
108 |
$2K |
| 93922 |
|
104 |
89 |
$1K |
| 93040 |
|
186 |
158 |
$1K |
| 95924 |
|
41 |
34 |
$1K |
| 76770 |
|
14 |
14 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
176 |
121 |
$937.82 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
379 |
368 |
$760.47 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
14 |
$554.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
74 |
67 |
$526.38 |
| 93931 |
|
14 |
14 |
$510.30 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
15 |
15 |
$494.49 |
| 95921 |
|
49 |
37 |
$483.48 |
| 93000 |
|
59 |
50 |
$412.13 |
| 0012A |
|
12 |
12 |
$314.80 |
| 36415 |
Collection of venous blood by venipuncture |
5,006 |
4,661 |
$220.50 |
| 94760 |
|
138 |
117 |
$132.65 |
| 92650 |
|
142 |
118 |
$122.70 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
108 |
105 |
$97.23 |
| 81025 |
|
25 |
24 |
$93.99 |
| 99173 |
|
13 |
13 |
$12.60 |
| 81003 |
|
16 |
16 |
$11.34 |
| 96139 |
|
80 |
77 |
$0.00 |
| 90686 |
|
46 |
45 |
$0.00 |
| 99439 |
|
12 |
12 |
$0.00 |
| 99454 |
|
29 |
27 |
$0.00 |
| 91301 |
|
14 |
14 |
$0.00 |
| 96138 |
|
186 |
156 |
$0.00 |
| 95943 |
|
55 |
52 |
$0.00 |
| 99490 |
Ccm add 20min |
13 |
12 |
$0.00 |