| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
2,557 |
1,567 |
$354K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,979 |
1,191 |
$294K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,638 |
5,257 |
$270K |
| 95117 |
|
13,846 |
6,066 |
$98K |
| 99243 |
|
1,563 |
1,102 |
$89K |
| 94060 |
|
1,497 |
1,290 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,103 |
867 |
$79K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
40 |
37 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
61 |
56 |
$6K |
| 99072 |
|
161 |
151 |
$5K |
| 96160 |
|
1,130 |
912 |
$474.30 |
| 3023F |
|
626 |
458 |
$0.00 |