| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,879 |
5,003 |
$346K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,927 |
4,485 |
$269K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
100 |
13 |
$19K |
| 99215 |
Prolong outpt/office vis |
158 |
150 |
$13K |
| 99443 |
|
140 |
117 |
$10K |
| 95144 |
|
93 |
12 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
130 |
126 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
104 |
104 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
86 |
82 |
$8K |
| 99442 |
|
137 |
131 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
1,653 |
1,570 |
$5K |
| 81002 |
|
1,166 |
1,107 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
231 |
216 |
$3K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
14 |
13 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
43 |
41 |
$3K |
| 99000 |
|
865 |
764 |
$2K |
| 93000 |
|
195 |
192 |
$2K |
| 96127 |
|
606 |
600 |
$2K |
| 94762 |
|
185 |
91 |
$2K |
| 95117 |
|
193 |
98 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
19 |
$1K |
| 93923 |
|
24 |
16 |
$1K |
| 95923 |
|
23 |
14 |
$1K |
| 95816 |
|
32 |
29 |
$1K |
| 99441 |
|
35 |
33 |
$1K |
| 95957 |
|
14 |
13 |
$920.61 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
25 |
$754.80 |
| 99173 |
|
501 |
465 |
$675.05 |
| 95930 |
|
15 |
14 |
$671.07 |
| 81025 |
|
80 |
80 |
$491.11 |
| 82962 |
|
223 |
206 |
$417.49 |
| 96138 |
|
13 |
13 |
$362.36 |
| 93040 |
|
16 |
15 |
$167.53 |
| 94760 |
|
326 |
172 |
$84.29 |
| J1094 |
Injection, dexamethasone acetate, 1 mg |
25 |
25 |
$20.58 |
| 2010F |
|
958 |
607 |
$0.00 |
| S9453 |
Smoking cessation classes, non-physician provider, per session |
14 |
12 |
$0.00 |
| 95943 |
|
24 |
12 |
$0.00 |