| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,298 |
1,276 |
$61K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
221 |
220 |
$32K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
294 |
292 |
$25K |
| 95117 |
|
3,207 |
2,001 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
647 |
634 |
$21K |
| 31575 |
|
324 |
317 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$656.48 |
| 92567 |
|
38 |
38 |
$437.12 |
| 92557 |
|
13 |
13 |
$291.84 |
| 95115 |
|
14 |
12 |
$234.36 |