| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,923 |
1,878 |
$110K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
722 |
703 |
$56K |
| 92557 |
|
893 |
876 |
$24K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
146 |
141 |
$18K |
| 92567 |
|
1,002 |
983 |
$11K |
| 95117 |
|
1,073 |
431 |
$8K |
| 95115 |
|
733 |
267 |
$4K |
| 95024 |
|
73 |
54 |
$3K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
12 |
12 |
$2K |
| 31231 |
|
45 |
29 |
$2K |
| 70486 |
|
20 |
16 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
25 |
$2K |
| 94010 |
|
12 |
12 |
$242.87 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$29.38 |