| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
5,709 |
705 |
$998K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,902 |
1,663 |
$117K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
378 |
373 |
$77K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,695 |
1,505 |
$74K |
| 93880 |
|
350 |
341 |
$44K |
| 93978 |
|
356 |
348 |
$41K |
| 95943 |
|
361 |
357 |
$39K |
| 93926 |
|
358 |
349 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
210 |
199 |
$20K |
| 93922 |
|
224 |
220 |
$13K |
| 92548 |
|
175 |
167 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
145 |
138 |
$10K |
| 99358 |
Prolong nursin fac eval 15m |
123 |
118 |
$9K |
| 94010 |
|
295 |
292 |
$7K |
| 99354 |
|
62 |
42 |
$6K |
| 96132 |
|
76 |
59 |
$5K |
| 93000 |
|
392 |
383 |
$4K |
| 96138 |
|
120 |
115 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
104 |
90 |
$1K |
| 95117 |
|
165 |
104 |
$1K |
| 99493 |
|
23 |
13 |
$1K |
| 99494 |
|
25 |
12 |
$1K |
| 77081 |
|
50 |
49 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
141 |
126 |
$976.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
55 |
53 |
$918.10 |
| 90686 |
|
42 |
39 |
$551.43 |
| 36415 |
Collection of venous blood by venipuncture |
190 |
181 |
$435.82 |
| 99489 |
Ccm add 20min |
41 |
35 |
$427.97 |
| 84443 |
Thyroid stimulating hormone (TSH) |
121 |
84 |
$315.52 |
| 99174 |
|
116 |
106 |
$284.18 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
34 |
27 |
$197.34 |
| 81025 |
|
26 |
25 |
$170.76 |
| 80053 |
Comprehensive metabolic panel |
117 |
81 |
$151.45 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
139 |
95 |
$146.71 |
| 81002 |
|
60 |
54 |
$134.34 |
| 80061 |
Lipid panel |
25 |
22 |
$97.34 |
| 83970 |
|
15 |
14 |
$88.70 |
| 82550 |
|
31 |
29 |
$58.69 |
| 82150 |
|
18 |
15 |
$36.29 |
| 82607 |
|
15 |
12 |
$33.50 |
| 99487 |
Ccm add 20min |
52 |
45 |
$32.74 |
| 82746 |
|
15 |
12 |
$32.68 |
| 82728 |
|
15 |
12 |
$30.30 |
| 84550 |
|
18 |
15 |
$25.10 |
| 84439 |
|
20 |
17 |
$20.04 |
| 96127 |
|
14 |
12 |
$2.93 |
| 86328 |
|
14 |
13 |
$0.00 |