| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
689 |
667 |
$59K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
914 |
897 |
$48K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
224 |
224 |
$31K |
| 92579 |
|
476 |
474 |
$19K |
| 92567 |
|
1,424 |
1,413 |
$19K |
| 92557 |
|
317 |
316 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
82 |
82 |
$7K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
17 |
17 |
$5K |
| 92587 |
|
134 |
134 |
$2K |
| 95811 |
|
82 |
81 |
$2K |
| 95115 |
|
76 |
26 |
$923.86 |