| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,023 |
997 |
$141K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,245 |
2,173 |
$94K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,383 |
1,337 |
$87K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,201 |
1,140 |
$84K |
| 99215 |
Prolong outpt/office vis |
840 |
831 |
$76K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
919 |
911 |
$65K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
898 |
877 |
$63K |
| 92551 |
|
1,649 |
1,621 |
$55K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
564 |
561 |
$40K |
| 95028 |
|
170 |
163 |
$27K |
| 95117 |
|
2,039 |
767 |
$21K |
| 90700 |
|
1,162 |
1,143 |
$20K |
| 83655 |
|
903 |
883 |
$12K |
| 90686 |
|
1,679 |
1,640 |
$10K |
| 90707 |
|
460 |
444 |
$8K |
| 85013 |
|
1,101 |
1,081 |
$7K |
| 94010 |
|
264 |
258 |
$6K |
| 90713 |
|
974 |
956 |
$6K |
| 90648 |
|
848 |
839 |
$5K |
| 90670 |
|
823 |
811 |
$5K |
| 90651 |
|
658 |
645 |
$4K |
| 90680 |
|
563 |
559 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
203 |
176 |
$3K |
| 99381 |
|
40 |
39 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
181 |
180 |
$3K |
| 90716 |
|
462 |
443 |
$3K |
| 90744 |
|
440 |
434 |
$3K |
| 90633 |
|
434 |
420 |
$2K |
| 99383 |
|
28 |
28 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
63 |
62 |
$2K |
| 81002 |
|
586 |
566 |
$2K |
| 90715 |
|
92 |
91 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
94 |
93 |
$1K |
| 90734 |
|
217 |
211 |
$1K |
| 99384 |
|
12 |
12 |
$867.27 |
| 87071 |
|
58 |
58 |
$524.49 |
| 99051 |
|
30 |
30 |
$348.28 |
| 90620 |
|
53 |
53 |
$310.52 |
| 94664 |
|
13 |
12 |
$176.52 |
| 0001A |
|
14 |
14 |
$0.00 |
| 0072A |
|
14 |
14 |
$0.00 |
| 0071A |
|
44 |
43 |
$0.00 |
| 0004A |
|
12 |
12 |
$0.00 |