| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,958 |
1,647 |
$101K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
138 |
130 |
$30K |
| 95117 |
|
2,703 |
1,257 |
$22K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
122 |
73 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
226 |
217 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
238 |
197 |
$8K |
| 94010 |
|
106 |
94 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
24 |
24 |
$977.19 |
| 96160 |
|
690 |
547 |
$629.38 |