| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
166 |
149 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
666 |
620 |
$24K |
| 95117 |
|
2,265 |
1,235 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
151 |
151 |
$15K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
26 |
26 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
79 |
73 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
149 |
145 |
$3K |
| 94010 |
|
54 |
54 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
99 |
96 |
$225.12 |
| 98970 |
|
16 |
16 |
$25.35 |
| 94375 |
|
38 |
38 |
$0.00 |
| 98966 |
|
15 |
15 |
$0.00 |
| 99072 |
|
27 |
27 |
$0.00 |