| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
151 |
151 |
$26K |
| 94729 |
|
460 |
460 |
$19K |
| 94060 |
|
460 |
460 |
$19K |
| 94727 |
|
461 |
461 |
$14K |
| 94618 |
|
460 |
460 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
73 |
73 |
$9K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
52 |
52 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
72 |
65 |
$6K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
69 |
69 |
$5K |
| 93880 |
|
40 |
40 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35 |
29 |
$2K |
| 94010 |
|
84 |
84 |
$2K |
| 93000 |
|
82 |
82 |
$927.41 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$895.04 |
| 36415 |
Collection of venous blood by venipuncture |
37 |
36 |
$52.65 |
| 94760 |
|
114 |
94 |
$2.92 |
| 2010F |
|
149 |
119 |
$0.00 |