| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
472 |
472 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
976 |
918 |
$46K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
348 |
341 |
$44K |
| 95117 |
|
3,897 |
1,302 |
$27K |
| 99245 |
|
113 |
113 |
$19K |
| 99215 |
Prolong outpt/office vis |
157 |
152 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
80 |
80 |
$6K |
| 69210 |
|
111 |
107 |
$2K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 99243 |
|
13 |
13 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$828.38 |