| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
790 |
783 |
$39K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
905 |
874 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
159 |
159 |
$14K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
78 |
76 |
$10K |
| 99243 |
|
73 |
73 |
$6K |
| 95117 |
|
903 |
513 |
$5K |
| 69210 |
|
189 |
184 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
53 |
52 |
$3K |
| 31575 |
|
32 |
32 |
$2K |
| 92567 |
|
115 |
115 |
$1K |
| 31231 |
|
13 |
13 |
$777.00 |
| 95115 |
|
210 |
172 |
$696.55 |
| 3061F |
|
29 |
16 |
$0.00 |