| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,620 |
3,157 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,582 |
1,328 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
812 |
328 |
$2K |
| 95117 |
|
3,251 |
1,273 |
$840.81 |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
374 |
367 |
$816.42 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
189 |
175 |
$543.41 |
| 94010 |
|
1,475 |
1,355 |
$415.55 |
| 94200 |
|
1,764 |
1,052 |
$314.92 |
| 94060 |
|
66 |
66 |
$94.11 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
136 |
123 |
$57.20 |
| 95012 |
|
58 |
55 |
$56.25 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
70 |
69 |
$0.29 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
66 |
66 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
12 |
12 |
$0.00 |
| 94664 |
|
35 |
32 |
$0.00 |