| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
2,155 |
2,143 |
$487K |
| 31295 |
|
323 |
306 |
$464K |
| 31296 |
|
153 |
143 |
$417K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,500 |
2,488 |
$217K |
| 31575 |
|
2,338 |
2,323 |
$215K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,903 |
2,575 |
$75K |
| 31231 |
|
342 |
334 |
$49K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,426 |
1,425 |
$48K |
| 92567 |
|
2,448 |
2,402 |
$29K |
| 31237 |
|
100 |
98 |
$16K |
| 31297 |
|
75 |
65 |
$8K |
| 92557 |
|
68 |
67 |
$2K |
| 30930 |
|
60 |
57 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22 |
20 |
$1K |
| 87070 |
|
179 |
176 |
$979.93 |
| 92550 |
|
68 |
67 |
$938.10 |
| 99000 |
|
184 |
182 |
$0.00 |