| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
297 |
259 |
$25K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
131 |
127 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
359 |
272 |
$15K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
232 |
183 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
93 |
85 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
49 |
43 |
$3K |
| 95117 |
|
686 |
187 |
$3K |
| 92567 |
|
128 |
113 |
$1K |
| 31231 |
|
17 |
12 |
$1K |
| 31575 |
|
34 |
26 |
$988.72 |
| 92557 |
|
19 |
12 |
$403.85 |
| 92504 |
|
17 |
15 |
$383.66 |
| 95115 |
|
48 |
12 |
$136.88 |