| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
453 |
436 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
453 |
445 |
$17K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
15 |
15 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$2K |
| 94642 |
|
13 |
13 |
$876.60 |
| 94729 |
|
13 |
13 |
$680.50 |
| 94727 |
|
13 |
13 |
$503.00 |
| 94010 |
|
13 |
13 |
$309.70 |
| 94016 |
|
13 |
13 |
$265.10 |
| 36415 |
Collection of venous blood by venipuncture |
105 |
105 |
$0.00 |