| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
586 |
167 |
$150K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
195 |
165 |
$59K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
864 |
753 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
266 |
237 |
$13K |
| 95018 |
|
192 |
163 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
128 |
120 |
$7K |
| 95076 |
|
188 |
159 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
106 |
104 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
187 |
177 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
33 |
33 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$863.86 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
141 |
125 |
$649.25 |
| 85018 |
|
246 |
236 |
$209.56 |
| 81002 |
|
173 |
165 |
$195.70 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
21 |
14 |
$120.24 |
| 36416 |
|
96 |
87 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
55 |
48 |
$0.00 |
| 90698 |
|
15 |
15 |
$0.00 |
| 97803 |
|
56 |
49 |
$0.00 |
| 90633 |
|
30 |
29 |
$0.00 |
| 90670 |
|
46 |
45 |
$0.00 |
| 99173 |
|
62 |
55 |
$0.00 |