| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
5,380 |
506 |
$1.67M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,828 |
10,000 |
$965K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,347 |
2,337 |
$201K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,841 |
4,756 |
$189K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,783 |
1,766 |
$166K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,840 |
1,813 |
$155K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,124 |
3,081 |
$142K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,723 |
2,566 |
$134K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,227 |
1,207 |
$98K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
224 |
218 |
$51K |
| 95117 |
|
3,098 |
1,094 |
$37K |
| 99383 |
|
117 |
116 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
120 |
118 |
$8K |
| 99381 |
|
67 |
67 |
$6K |
| 99382 |
|
58 |
57 |
$5K |
| 95115 |
|
510 |
188 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
326 |
311 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
137 |
136 |
$4K |
| 96127 |
|
337 |
335 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
16 |
$242.42 |
| 90670 |
|
566 |
547 |
$6.88 |
| 90680 |
|
156 |
153 |
$6.87 |
| 90698 |
|
175 |
173 |
$6.86 |
| 90686 |
|
862 |
786 |
$0.70 |
| 90734 |
|
43 |
43 |
$0.52 |
| 90677 |
|
23 |
17 |
$0.03 |
| 90685 |
|
79 |
79 |
$0.00 |
| 90633 |
|
71 |
67 |
$0.00 |
| 90707 |
|
58 |
55 |
$0.00 |
| 90649 |
|
25 |
25 |
$0.00 |
| 90710 |
|
14 |
14 |
$0.00 |
| 90619 |
|
29 |
29 |
$0.00 |
| 90716 |
|
58 |
55 |
$0.00 |
| 90647 |
|
104 |
92 |
$0.00 |
| 90744 |
|
27 |
27 |
$0.00 |
| 90620 |
|
73 |
73 |
$0.00 |
| 90723 |
|
66 |
55 |
$0.00 |