| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,609 |
1,452 |
$57K |
| 95117 |
|
6,760 |
2,601 |
$53K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
164 |
155 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
296 |
260 |
$16K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
82 |
30 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
52 |
42 |
$4K |
| 94375 |
|
96 |
93 |
$2K |
| 94060 |
|
44 |
40 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
43 |
38 |
$649.60 |
| 90688 |
|
39 |
34 |
$623.30 |
| 94664 |
|
63 |
60 |
$500.47 |
| 90756 |
|
15 |
15 |
$361.21 |