| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,560 |
3,439 |
$233K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,138 |
1,091 |
$187K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
885 |
878 |
$79K |
| 95115 |
|
11,706 |
4,964 |
$77K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
224 |
222 |
$23K |
| 95117 |
|
2,746 |
1,177 |
$22K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
88 |
87 |
$13K |
| 94010 |
|
196 |
195 |
$5K |
| 99457 |
|
116 |
116 |
$4K |
| 95024 |
|
26 |
26 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
134 |
83 |
$1K |
| 99458 |
|
27 |
27 |
$962.71 |
| 96401 |
|
16 |
12 |
$861.56 |
| G9521 |
Total number of emergency department visits and inpatient hospitalizations less than two in the past 12 months |
73 |
72 |
$5.45 |
| G9432 |
Asthma well-controlled based on the act, c-act, acq, or ataq score and results documented |
57 |
56 |
$5.45 |