| Code | Description | Claims | Beneficiaries | Total Paid |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,133 |
1,127 |
$270K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,517 |
1,734 |
$156K |
| 94729 |
|
942 |
940 |
$44K |
| 94060 |
|
773 |
770 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
213 |
172 |
$23K |
| 94726 |
|
480 |
478 |
$18K |
| 94727 |
|
408 |
408 |
$16K |
| 94618 |
|
489 |
487 |
$13K |
| 94016 |
|
474 |
472 |
$8K |
| 94621 |
|
47 |
47 |
$7K |
| 94010 |
|
576 |
575 |
$6K |
| 92546 |
|
12 |
12 |
$978.04 |
| 92540 |
|
12 |
12 |
$800.10 |
| 93000 |
|
45 |
45 |
$632.44 |
| 94200 |
|
533 |
530 |
$556.63 |
| 94375 |
|
488 |
486 |
$376.61 |
| 96138 |
|
14 |
14 |
$207.80 |
| 36415 |
Collection of venous blood by venipuncture |
309 |
296 |
$87.99 |
| 81005 |
|
47 |
43 |
$82.13 |
| 92547 |
|
12 |
12 |
$70.00 |
| 92542 |
|
12 |
12 |
$47.25 |
| 94760 |
|
966 |
680 |
$42.88 |
| 3074F |
|
161 |
135 |
$5.00 |
| 3078F |
|
162 |
136 |
$5.00 |
| 94761 |
|
33 |
31 |
$4.43 |
| 2001F |
|
741 |
504 |
$0.00 |
| 2000F |
|
817 |
564 |
$0.00 |
| 99000 |
|
388 |
352 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
353 |
252 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
12 |
12 |
$0.00 |
| 96132 |
|
14 |
14 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
182 |
137 |
$0.00 |
| 99071 |
|
1,066 |
760 |
$0.00 |