| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
4,677 |
2,641 |
$1.20M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,943 |
3,707 |
$212K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,805 |
1,669 |
$205K |
| 95117 |
|
20,209 |
9,845 |
$177K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,862 |
1,696 |
$148K |
| 95024 |
|
895 |
851 |
$87K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
530 |
506 |
$58K |
| 95115 |
|
2,895 |
1,573 |
$22K |
| 94010 |
|
638 |
559 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
883 |
670 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
136 |
126 |
$10K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
335 |
318 |
$3K |
| 99051 |
|
3,229 |
2,257 |
$1K |
| 90688 |
|
41 |
39 |
$515.06 |
| 90674 |
|
12 |
12 |
$186.68 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$26.79 |
| J3590 |
Unclassified biologics |
39 |
26 |
$0.00 |