| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
2,932 |
507 |
$515K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,471 |
7,499 |
$270K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,013 |
2,829 |
$137K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,530 |
2,441 |
$72K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
841 |
802 |
$49K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
748 |
712 |
$48K |
| 97802 |
|
1,981 |
1,888 |
$41K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
641 |
611 |
$39K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
610 |
591 |
$36K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
181 |
173 |
$35K |
| 99072 |
|
5,574 |
4,787 |
$21K |
| 99050 |
|
1,683 |
1,599 |
$15K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
3,537 |
3,198 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
985 |
928 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
652 |
360 |
$3K |
| 90710 |
|
39 |
39 |
$1K |
| S9451 |
Exercise classes, non-physician provider, per session |
2,113 |
1,868 |
$378.76 |
| 90670 |
|
191 |
188 |
$282.36 |
| 90633 |
|
43 |
37 |
$136.93 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
136 |
126 |
$110.00 |
| 90680 |
|
51 |
50 |
$50.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
113 |
88 |
$45.44 |
| 90698 |
|
135 |
133 |
$30.00 |
| 92567 |
|
15 |
14 |
$27.95 |
| 90734 |
|
51 |
48 |
$20.00 |
| 90619 |
|
46 |
41 |
$0.00 |
| 90620 |
|
13 |
13 |
$0.00 |
| 90686 |
|
30 |
30 |
$0.00 |