| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
585 |
280 |
$662K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,126 |
3,734 |
$351K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,419 |
1,156 |
$77K |
| 99354 |
|
338 |
287 |
$28K |
| 99401 |
|
443 |
363 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
250 |
139 |
$9K |
| 95117 |
|
613 |
354 |
$6K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
14 |
13 |
$3K |
| 93000 |
|
147 |
145 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
612 |
573 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
59 |
52 |
$814.39 |
| 99000 |
|
63 |
56 |
$690.71 |
| 80305 |
|
28 |
28 |
$386.69 |
| 81002 |
|
115 |
114 |
$328.98 |
| 76775 |
|
12 |
12 |
$243.20 |
| 83014 |
|
30 |
30 |
$240.24 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
14 |
$176.64 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$163.16 |
| 81025 |
|
12 |
12 |
$93.00 |
| 96160 |
|
68 |
50 |
$91.90 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
18 |
16 |
$27.20 |