| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
157 |
138 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
228 |
217 |
$1K |
| 99243 |
|
32 |
28 |
$194.00 |
| 94010 |
|
48 |
43 |
$138.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
15 |
$92.00 |
| 95117 |
|
804 |
309 |
$39.44 |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
14 |
14 |
$0.00 |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
13 |
12 |
$0.00 |