| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,104 |
990 |
$130K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,078 |
2,433 |
$122K |
| 95117 |
|
4,676 |
2,446 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
163 |
158 |
$12K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
71 |
69 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
88 |
83 |
$6K |
| 94664 |
|
318 |
275 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
60 |
59 |
$2K |
| 99243 |
|
14 |
14 |
$1K |
| 94060 |
|
29 |
29 |
$1K |
| S8110 |
Peak expiratory flow rate (physician services) |
319 |
252 |
$871.50 |
| 95024 |
|
13 |
13 |
$720.50 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
12 |
$242.30 |
| 94760 |
|
1,514 |
1,250 |
$47.17 |
| 94761 |
|
322 |
258 |
$0.00 |
| 94150 |
|
1,140 |
919 |
$0.00 |