| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,180 |
981 |
$60K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
36 |
25 |
$6K |
| 93000 |
|
295 |
289 |
$4K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
18 |
13 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
27 |
27 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$922.57 |
| 36415 |
Collection of venous blood by venipuncture |
417 |
402 |
$696.52 |
| 90686 |
|
50 |
50 |
$662.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
47 |
46 |
$569.21 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$156.52 |
| 95115 |
|
21 |
12 |
$70.00 |