| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99243 |
|
362 |
362 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
491 |
474 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
359 |
357 |
$14K |
| 31575 |
|
104 |
100 |
$6K |
| 69210 |
|
144 |
138 |
$2K |
| 99242 |
|
41 |
41 |
$2K |
| 31231 |
|
39 |
39 |
$2K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
12 |
12 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
23 |
23 |
$861.80 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24 |
24 |
$628.38 |
| 95117 |
|
58 |
25 |
$377.30 |
| 3061F |
|
13 |
13 |
$0.00 |