| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
570 |
97 |
$108K |
| 98960 |
|
2,206 |
561 |
$83K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,002 |
873 |
$41K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
218 |
99 |
$31K |
| Q3014 |
Telehealth originating site facility fee |
990 |
263 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
175 |
158 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
132 |
117 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
137 |
107 |
$9K |
| 99205 |
Prolong outpt/office vis |
16 |
16 |
$3K |
| 99423 |
|
758 |
292 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36 |
34 |
$2K |
| 96138 |
|
55 |
49 |
$72.58 |
| 98980 |
|
33 |
31 |
$55.99 |
| 95957 |
|
50 |
47 |
$45.10 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
35 |
28 |
$2.65 |
| 95816 |
|
50 |
47 |
$0.00 |
| 95930 |
|
50 |
47 |
$0.00 |