| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
3,616 |
2,460 |
$251K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,969 |
3,800 |
$228K |
| 95117 |
|
15,510 |
8,129 |
$126K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,082 |
1,008 |
$110K |
| 99215 |
Prolong outpt/office vis |
444 |
398 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
630 |
583 |
$24K |
| 94010 |
|
561 |
545 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
92 |
92 |
$7K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
36 |
36 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
43 |
40 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
25 |
$657.89 |
| 99243 |
|
12 |
12 |
$614.21 |
| 95012 |
|
45 |
44 |
$527.67 |
| 94060 |
|
12 |
12 |
$383.53 |
| 96401 |
|
15 |
13 |
$336.33 |
| 96160 |
|
163 |
156 |
$235.77 |
| 94375 |
|
653 |
626 |
$28.10 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
128 |
128 |
$15.92 |