| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95913 |
|
453 |
382 |
$109K |
| 95886 |
|
455 |
384 |
$63K |
| 95813 |
|
109 |
106 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
282 |
277 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
199 |
199 |
$17K |
| 92546 |
|
247 |
166 |
$17K |
| 92540 |
|
167 |
166 |
$14K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
49 |
49 |
$13K |
| 99215 |
Prolong outpt/office vis |
75 |
75 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
429 |
377 |
$6K |
| 92537 |
|
166 |
165 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
85 |
84 |
$5K |
| 92547 |
|
171 |
166 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
35 |
25 |
$737.43 |