| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,147 |
2,451 |
$96K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,618 |
1,314 |
$84K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
787 |
654 |
$81K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,197 |
1,072 |
$66K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
421 |
353 |
$30K |
| 95117 |
|
1,610 |
612 |
$8K |
| 99215 |
Prolong outpt/office vis |
51 |
43 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
153 |
135 |
$5K |
| 99205 |
Prolong outpt/office vis |
33 |
26 |
$3K |
| 92567 |
|
616 |
464 |
$2K |
| 31575 |
|
85 |
79 |
$725.29 |
| 92597 |
|
22 |
12 |
$334.94 |
| 95115 |
|
53 |
25 |
$304.46 |
| 92557 |
|
129 |
115 |
$258.40 |
| 99072 |
|
13 |
12 |
$0.00 |