| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
884 |
818 |
$53K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
292 |
280 |
$30K |
| 95117 |
|
2,922 |
1,144 |
$23K |
| 94375 |
|
585 |
561 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
353 |
342 |
$16K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
100 |
88 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
51 |
51 |
$5K |