| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,670 |
2,298 |
$129K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
75 |
67 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
32 |
32 |
$2K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
39 |
38 |
$1K |
| 90686 |
|
85 |
81 |
$1K |