| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,018 |
2,655 |
$223K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,771 |
3,482 |
$215K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,300 |
1,216 |
$130K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
912 |
836 |
$116K |
| 95117 |
|
1,495 |
1,090 |
$21K |
| 95115 |
|
1,017 |
745 |
$12K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
100 |
98 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
483 |
377 |
$5K |
| 99215 |
Prolong outpt/office vis |
17 |
12 |
$2K |
| 94010 |
|
46 |
42 |
$1K |
| 99072 |
|
51 |
39 |
$774.57 |