| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,411 |
3,023 |
$162K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
817 |
711 |
$64K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
530 |
487 |
$55K |
| 95117 |
|
3,732 |
2,171 |
$29K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
122 |
83 |
$13K |
| 94010 |
|
453 |
407 |
$8K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
68 |
46 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
61 |
59 |
$5K |
| 69210 |
|
32 |
24 |
$365.83 |
| 96160 |
|
171 |
155 |
$360.49 |