| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,092 |
1,808 |
$168K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,748 |
1,504 |
$93K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
304 |
273 |
$34K |
| 95115 |
|
5,244 |
2,714 |
$32K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
298 |
255 |
$31K |
| 94010 |
|
591 |
472 |
$13K |
| 99243 |
|
52 |
41 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
182 |
160 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
13 |
$1K |
| 99442 |
|
24 |
16 |
$406.96 |
| 90674 |
|
145 |
140 |
$405.05 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
15 |
$187.75 |
| 90688 |
|
99 |
76 |
$71.36 |