| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95144 |
|
11,175 |
1,172 |
$1.43M |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
3,711 |
761 |
$748K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,883 |
3,329 |
$305K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,004 |
993 |
$202K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,758 |
2,376 |
$153K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,343 |
1,378 |
$82K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
801 |
797 |
$82K |
| 99385 |
|
212 |
212 |
$21K |
| 92100 |
|
256 |
256 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
286 |
285 |
$20K |
| 95117 |
|
2,010 |
1,086 |
$18K |
| 99383 |
|
138 |
138 |
$12K |
| 93000 |
|
830 |
820 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
239 |
229 |
$10K |
| 99382 |
|
54 |
54 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
323 |
315 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
272 |
264 |
$4K |
| 81025 |
|
510 |
464 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
186 |
176 |
$3K |
| 99401 |
|
67 |
67 |
$2K |
| 99384 |
|
17 |
17 |
$2K |
| 99386 |
|
15 |
15 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
32 |
32 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| 94760 |
|
396 |
274 |
$697.40 |
| 82962 |
|
98 |
79 |
$265.58 |
| 36415 |
Collection of venous blood by venipuncture |
133 |
132 |
$225.68 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
31 |
30 |
$27.73 |
| 99173 |
|
14 |
14 |
$15.06 |
| 99000 |
|
115 |
107 |
$0.00 |