| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
176 |
168 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
415 |
379 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
645 |
599 |
$26K |
| 95117 |
|
3,054 |
1,132 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
87 |
82 |
$7K |
| 94375 |
|
151 |
141 |
$4K |
| 94060 |
|
42 |
38 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
44 |
41 |
$540.10 |
| 90661 |
|
14 |
14 |
$421.91 |