| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,525 |
4,755 |
$475K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,741 |
1,435 |
$82K |
| 95144 |
|
84 |
14 |
$13K |
| 95923 |
|
171 |
158 |
$10K |
| 95921 |
|
157 |
145 |
$7K |
| 93923 |
|
76 |
67 |
$6K |
| 96127 |
|
134 |
108 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$752.70 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$727.81 |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
22 |
14 |
$275.72 |
| 3008F |
|
125 |
97 |
$0.00 |
| 1125F |
|
26 |
25 |
$0.00 |
| 3074F |
|
75 |
61 |
$0.00 |
| 3079F |
|
36 |
32 |
$0.00 |
| 1126F |
|
73 |
52 |
$0.00 |
| 3078F |
|
69 |
51 |
$0.00 |