| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
241 |
229 |
$40K |
| 99205 |
Prolong outpt/office vis |
252 |
251 |
$37K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
114 |
74 |
$26K |
| 95117 |
|
2,201 |
781 |
$14K |
| 95180 |
|
45 |
24 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
105 |
105 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
73 |
68 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
65 |
65 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
39 |
36 |
$1K |
| 99324 |
|
54 |
46 |
$611.31 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
23 |
22 |
$600.12 |
| 36410 |
|
41 |
39 |
$388.74 |
| 99000 |
|
15 |
15 |
$0.00 |