| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 94060 |
|
1,685 |
1,683 |
$75K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,322 |
1,310 |
$71K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
743 |
739 |
$52K |
| 95117 |
|
5,249 |
3,052 |
$43K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
219 |
142 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
286 |
284 |
$31K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
54 |
54 |
$8K |
| 95024 |
|
65 |
65 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
36 |
36 |
$3K |
| 95115 |
|
44 |
24 |
$334.66 |
| 99072 |
|
108 |
80 |
$0.91 |
| 99080 |
|
12 |
12 |
$0.00 |