| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99350 |
Prolong home eval add 15m |
2,569 |
2,403 |
$199K |
| 99091 |
|
1,161 |
1,117 |
$133K |
| 99215 |
Prolong outpt/office vis |
948 |
811 |
$55K |
| 95816 |
|
180 |
179 |
$38K |
| 93923 |
|
297 |
236 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
204 |
189 |
$8K |
| 99337 |
|
193 |
181 |
$8K |
| 95921 |
|
204 |
175 |
$7K |
| 95930 |
|
177 |
177 |
$7K |
| 93922 |
|
186 |
185 |
$6K |
| 95923 |
|
270 |
237 |
$6K |
| 92653 |
|
157 |
157 |
$5K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
17 |
16 |
$4K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
13 |
13 |
$4K |
| 95943 |
|
59 |
59 |
$3K |
| 96132 |
|
146 |
146 |
$3K |
| 99345 |
Prolong home eval add 15m |
25 |
25 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
43 |
43 |
$2K |
| 92585 |
|
21 |
21 |
$2K |
| 92650 |
|
151 |
151 |
$1K |
| 93040 |
|
163 |
163 |
$1K |
| 99375 |
|
113 |
109 |
$177.36 |
| 95957 |
|
128 |
128 |
$145.95 |
| 99344 |
|
14 |
13 |
$112.28 |
| 96138 |
|
185 |
185 |
$69.92 |
| 92548 |
|
138 |
124 |
$0.00 |
| 96139 |
|
172 |
172 |
$0.00 |
| 99483 |
Prolong outpt/office vis |
34 |
34 |
$0.00 |