| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
16,159 |
11,643 |
$1.51M |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,580 |
1,306 |
$98K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
2,225 |
1,813 |
$78K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,298 |
3,998 |
$75K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,706 |
7,251 |
$58K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,801 |
2,337 |
$51K |
| 95117 |
|
4,942 |
2,501 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,062 |
2,089 |
$8K |
| 94010 |
|
508 |
332 |
$6K |
| 95115 |
|
2,660 |
1,302 |
$4K |
| 96401 |
|
863 |
641 |
$2K |
| 94664 |
|
406 |
318 |
$2K |
| 99051 |
|
92 |
76 |
$1K |
| 94060 |
|
52 |
33 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
201 |
187 |
$956.20 |
| 94760 |
|
7,871 |
5,535 |
$868.40 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
76 |
39 |
$199.43 |
| 0002A |
|
69 |
18 |
$37.08 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
61 |
39 |
$35.23 |
| 96127 |
|
356 |
232 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
166 |
148 |
$0.00 |
| C9399 |
Unclassified drugs or biologicals |
374 |
260 |
$0.00 |
| 0001A |
|
108 |
15 |
$0.00 |
| 90686 |
|
89 |
87 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
69 |
54 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
34 |
31 |
$0.00 |
| 91300 |
|
223 |
49 |
$0.00 |
| 99199 |
Unlisted special service, procedure or report |
99 |
80 |
$0.00 |
| 96160 |
|
21 |
18 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
21 |
15 |
$0.00 |