| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,314 |
1,069 |
$75K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
37 |
12 |
$5K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
16 |
15 |
$4K |
| 99401 |
|
130 |
127 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$820.87 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$563.53 |
| 99402 |
|
15 |
15 |
$474.41 |
| 93000 |
|
12 |
12 |
$133.77 |
| 36415 |
Collection of venous blood by venipuncture |
32 |
32 |
$46.67 |