| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
34 |
33 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
164 |
145 |
$2K |
| 99354 |
|
81 |
78 |
$191.67 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$190.05 |
| 94760 |
|
70 |
62 |
$0.00 |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
210 |
25 |
$0.00 |
| 99457 |
|
13 |
13 |
$0.00 |
| 3008F |
|
13 |
12 |
$0.00 |
| 99454 |
|
14 |
13 |
$0.00 |
| 99458 |
|
13 |
13 |
$0.00 |
| 99406 |
|
33 |
28 |
$0.00 |
| 96119 |
|
13 |
13 |
$0.00 |
| 96132 |
|
83 |
77 |
$0.00 |
| 99483 |
Prolong outpt/office vis |
87 |
87 |
$0.00 |
| 94060 |
|
29 |
29 |
$0.00 |
| 99487 |
Ccm add 20min |
29 |
29 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
14 |
13 |
$0.00 |
| 96102 |
|
13 |
13 |
$0.00 |
| 99497 |
|
14 |
14 |
$0.00 |