| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95117 |
|
1,889 |
1,062 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
277 |
269 |
$15K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
17 |
16 |
$5K |
| 95115 |
|
545 |
274 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$198.92 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$143.54 |