| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,103 |
8,508 |
$371K |
| 99215 |
Prolong outpt/office vis |
5,327 |
3,277 |
$184K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,216 |
264 |
$60K |
| 94729 |
|
4,147 |
2,513 |
$49K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,534 |
940 |
$37K |
| 99205 |
Prolong outpt/office vis |
852 |
436 |
$36K |
| 94727 |
|
3,274 |
2,015 |
$30K |
| 94618 |
|
2,785 |
1,607 |
$20K |
| 94060 |
|
1,586 |
933 |
$16K |
| 94010 |
|
1,850 |
1,152 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,355 |
615 |
$13K |
| J2357 |
Injection, omalizumab, 5 mg |
300 |
159 |
$12K |
| 94726 |
|
1,165 |
668 |
$10K |
| 94664 |
|
2,155 |
1,367 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
61 |
50 |
$5K |
| 95117 |
|
650 |
234 |
$3K |
| 99443 |
|
28 |
17 |
$534.28 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
12 |
$259.74 |
| 95012 |
|
49 |
28 |
$252.95 |
| A4617 |
Mouth piece |
1,489 |
1,118 |
$246.18 |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
40 |
12 |
$231.37 |
| 99245 |
|
12 |
12 |
$0.00 |