| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,357 |
2,980 |
$150K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,725 |
2,494 |
$122K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
729 |
668 |
$50K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
392 |
369 |
$28K |
| 31575 |
|
47 |
46 |
$6K |
| 69210 |
|
48 |
47 |
$714.31 |
| 95117 |
|
63 |
40 |
$493.85 |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
65 |
42 |
$453.60 |