| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,681 |
3,597 |
$10K |
| 95144 |
|
11,717 |
5,368 |
$7K |
| 95115 |
|
7,829 |
3,414 |
$6K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,208 |
1,136 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,871 |
1,825 |
$3K |
| 95117 |
|
6,908 |
3,417 |
$2K |
| 95024 |
|
753 |
658 |
$390.98 |
| 94010 |
|
531 |
451 |
$367.88 |
| 96401 |
|
153 |
116 |
$125.83 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
252 |
163 |
$33.74 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
69 |
69 |
$17.92 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
65 |
65 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
225 |
224 |
$0.00 |
| 94060 |
|
13 |
13 |
$0.00 |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
25 |
24 |
$0.00 |
| 99243 |
|
12 |
12 |
$0.00 |