| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,400 |
3,397 |
$299K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,939 |
5,638 |
$265K |
| 31575 |
|
2,370 |
2,307 |
$154K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,150 |
2,078 |
$135K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,923 |
1,920 |
$120K |
| 92557 |
|
2,018 |
1,994 |
$41K |
| 31231 |
|
341 |
337 |
$38K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
709 |
694 |
$22K |
| 92567 |
|
2,410 |
2,349 |
$21K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
120 |
120 |
$19K |
| 69210 |
|
626 |
613 |
$16K |
| 95117 |
|
2,097 |
690 |
$15K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
145 |
145 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
43 |
43 |
$5K |
| 99215 |
Prolong outpt/office vis |
42 |
41 |
$3K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
27 |
27 |
$3K |
| 95024 |
|
13 |
13 |
$2K |
| 99072 |
|
165 |
161 |
$0.00 |