| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
204 |
202 |
$8K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
48 |
45 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
61 |
56 |
$6K |
| 94060 |
|
18 |
15 |
$634.90 |
| 96160 |
|
45 |
45 |
$147.70 |
| 94664 |
|
15 |
13 |
$12.65 |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
14 |
12 |
$0.00 |